Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.96 / $396.63 / $835.83	Facility		$386.96	$396.63	$835.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.96 / $396.63 / $477.70	Professional		$386.96	$396.63	$477.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $403.08 / $1,020.20 / $2,035.55	Facility		$403.08	$1,020.20	$2,035.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.15 / $411.15 / $411.15	Facility		$411.15	$411.15	$411.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.15 / $411.15 / $411.15	Professional		$411.15	$411.15	$411.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $566.00 / $2,136.35 / $2,136.35	Facility		$566.00	$2,136.35	$2,136.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,838.06 / $1,838.06 / $2,176.65	Professional		$1,838.06	$1,838.06	$2,176.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $386.96 / $427.27 / $854.49	Facility		$386.96	$427.27	$854.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $362.78 / $427.27 / $427.27	Professional		$362.78	$427.27	$427.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $588.40 / $961.40	Professional		$27.40	$588.40	$961.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $386.96 / $427.27 / $877.76	Facility		$386.96	$427.27	$877.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $411.15 / $411.15 / $430.48	Professional		$411.15	$411.15	$430.48
United Facility/Professional Professional Modifier Low / Median / High Price $403.08 / $427.26 / $448.71	Professional		$403.08	$427.26	$448.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $403.08 / $403.08 / $564.30	Professional		$403.08	$403.08	$564.30