Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.36 / $52.03 / $98.17	Facility		$43.36	$52.03	$98.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.36 / $49.54 / $229.08	Professional		$43.36	$49.54	$229.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.08 / $229.08 / $229.08	Professional		$229.08	$229.08	$229.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.66 / $57.66 / $57.66	Facility		$57.66	$57.66	$57.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $59.84	Professional		$57.66	$57.66	$59.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $276.00 / $1,219.00 / $1,219.00	Facility		$276.00	$1,219.00	$1,219.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,311.00 / $1,311.00 / $1,311.00	Professional		$1,311.00	$1,311.00	$1,311.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.27 / $70.83 / $276.00	Facility		$47.27	$70.83	$276.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.91 / $82.62 / $207.00	Professional		$48.91	$82.62	$207.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $5.81 / $8.02	Professional		$4.94	$5.81	$8.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.27 / $69.77 / $276.00	Facility		$47.27	$69.77	$276.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $68.00	Professional		$57.66	$57.66	$68.00
United Facility/Professional Facility Modifier Low / Median / High Price $63.14 / $85.39 / $85.39	Facility		$63.14	$85.39	$85.39
United Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $292.56 / $307.25	Professional		$276.00	$292.56	$307.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $80.72	Professional		$57.66	$57.66	$80.72