Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $154.88 / $512.86	Facility		$36.31	$154.88	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $72.44	Professional		$36.31	$36.31	$72.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $208.93 / $4,265.80	Facility		$162.18	$208.93	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $144.54 / $144.54	Professional		$138.04	$144.54	$144.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $70.79 / $141.25	Facility		$64.57	$70.79	$141.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $72.44	Professional		$36.31	$36.31	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $50.12 / $57.54	Professional		$37.15	$50.12	$57.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $70.79 / $138.04	Facility		$64.57	$70.79	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $131.83 / $173.78	Facility		$67.61	$131.83	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $102.33 / $102.33	Professional		$60.26	$102.33	$102.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $79.43 / $100.00	Professional		$30.20	$79.43	$100.00