Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $138.04 / $5,011.87	Facility		$8.91	$138.04	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $12.02	Professional		$8.91	$8.91	$12.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $158.49 / $4,265.80	Facility		$123.03	$158.49	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $10.47 / $26.92	Facility		$9.55	$10.47	$26.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $60.26	Professional		$8.91	$8.91	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $48.98	Professional		$30.20	$39.81	$48.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $173.78	Professional		$0.60	$0.60	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $10.47 / $27.54	Facility		$9.55	$10.47	$27.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $112.20 / $147.91	Facility		$51.29	$112.20	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $79.43	Professional		$31.62	$31.62	$79.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $83.18 / $102.33	Professional		$5.01	$83.18	$102.33