Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $80.97 / $170.62	Facility		$78.98	$80.97	$170.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $80.97 / $97.16	Professional		$78.98	$80.97	$97.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.93 / $83.93 / $83.93	Professional		$83.93	$83.93	$83.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.93 / $83.93 / $83.93	Facility		$83.93	$83.93	$83.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.93 / $98.74 / $117.00	Professional		$83.93	$98.74	$117.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $381.63 / $396.90	Professional		$234.00	$381.63	$396.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $85.57 / $164.65	Facility		$78.98	$85.57	$164.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $74.06 / $119.97	Professional		$74.06	$74.06	$119.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $92.76 / $122.43	Professional		$77.62	$92.76	$122.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $85.85 / $164.65	Facility		$78.98	$85.85	$164.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $2,250,000.00 / $2,400,000.00	Professional		$98.74	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $104.66 / $109.92	Professional		$98.74	$104.66	$109.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $78.98 / $110.59	Professional		$78.98	$78.98	$110.59