Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.92 / $125.03 / $134.97	Facility		$119.92	$125.03	$134.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.68 / $138.82 / $215.37	Professional		$121.68	$138.82	$215.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.19 / $155.18 / $173.82	Professional		$143.19	$155.18	$173.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $658.00 / $658.00 / $750.00	Facility		$658.00	$658.00	$750.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $149.69 / $149.69	Professional		$149.69	$149.69	$149.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $322.35 / $892.39 / $921.22	Facility		$322.35	$892.39	$921.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,158.18 / $1,158.18 / $1,425.23	Professional		$1,158.18	$1,158.18	$1,425.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.22 / $178.79 / $354.89	Facility		$137.22	$178.79	$354.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $153.75 / $248.93 / $381.26	Professional		$153.75	$248.93	$381.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $170.10 / $215.25 / $340.20	Professional		$170.10	$215.25	$340.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.22 / $179.89 / $402.64	Facility		$137.22	$179.89	$402.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $149.69 / $149.69	Professional		$149.69	$149.69	$149.69
United Facility/Professional Professional Modifier Low / Median / High Price $157.35 / $209.02 / $308.95	Professional		$157.35	$209.02	$308.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.86 / $153.75 / $221.08	Professional		$138.86	$153.75	$221.08