Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $100.78 / $697.07	Facility		$9.60	$100.78	$697.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $9.60 / $15.84	Professional		$9.60	$9.60	$15.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $54.40 / $54.40	Professional		$54.40	$54.40	$54.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.83 / $104.83 / $104.83	Facility		$104.83	$104.83	$104.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.53 / $195.53 / $195.53	Professional		$195.53	$195.53	$195.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $700.16 / $700.16	Facility		$100.00	$700.16	$700.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $452.38 / $452.38 / $452.38	Professional		$452.38	$452.38	$452.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $9.60 / $27.25	Facility		$9.60	$9.60	$27.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $172.00 / $172.00	Professional		$172.00	$172.00	$172.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $9.60 / $27.25	Facility		$9.60	$9.60	$27.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.53 / $195.53 / $195.53	Professional		$195.53	$195.53	$195.53
United Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $79.29 / $79.29	Professional		$79.29	$79.29	$79.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $82.78 / $111.75	Professional		$5.00	$82.78	$111.75