Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.54 / $122.37 / $122.37	Facility		$98.54	$122.37	$122.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $123.67 / $159.27	Professional		$56.50	$123.67	$159.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.24 / $124.99 / $124.99	Professional		$106.24	$124.99	$124.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.26 / $128.26 / $128.26	Professional		$128.26	$128.26	$128.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $348.93 / $348.93 / $348.93	Facility		$348.93	$348.93	$348.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $935.43 / $935.43 / $1,187.55	Professional		$935.43	$935.43	$1,187.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.37 / $122.37 / $169.52	Facility		$63.37	$122.37	$169.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $160.32 / $250.94	Professional		$78.48	$160.32	$250.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $382.70 / $382.70 / $382.70	Professional		$382.70	$382.70	$382.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.21 / $122.37 / $169.52	Facility		$63.21	$122.37	$169.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.26 / $128.26 / $322.69	Professional		$128.26	$128.26	$322.69
United Facility/Professional Professional Modifier Low / Median / High Price $109.47 / $145.08 / $237.77	Professional		$109.47	$145.08	$237.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $118.98 / $139.53 / $189.28	Professional		$118.98	$139.53	$189.28