Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.53 / $44.72 / $76.56	Facility		$25.53	$44.72	$76.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $45.97 / $76.31	Professional		$25.53	$45.97	$76.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $53.24 / $53.24	Professional		$45.25	$53.24	$53.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $93.60 / $172.01	Facility		$38.50	$93.60	$172.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $56.30 / $66.23	Professional		$38.02	$56.30	$66.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.29 / $50.29 / $50.29	Professional		$50.29	$50.29	$50.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $161.10 / $161.10 / $166.92	Facility		$161.10	$161.10	$166.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $275.99 / $275.99 / $488.59	Professional		$275.99	$275.99	$488.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.44 / $50.46 / $80.06	Facility		$29.44	$50.46	$80.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $61.19 / $90.21	Professional		$34.52	$61.19	$90.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $50.58 / $58.69	Professional		$31.17	$50.58	$58.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.05 / $50.17 / $80.01	Facility		$29.05	$50.17	$80.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.29 / $50.29 / $50.29	Professional		$50.29	$50.29	$50.29
United Facility/Professional Professional Modifier Low / Median / High Price $50.08 / $66.77 / $99.75	Professional		$50.08	$66.77	$99.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.66 / $53.24 / $74.06	Professional		$46.66	$53.24	$74.06