Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.71 / $242.71 / $864.68	Facility		$242.71	$242.71	$864.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.71 / $242.71 / $292.31	Professional		$242.71	$242.71	$292.31
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 $137.61 / $137.61 / $161.88	Professional		$137.61	$137.61	$161.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.39 / $263.39 / $263.39	Facility		$263.39	$263.39	$263.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.04 / $116.04 / $116.04	Professional		$116.04	$116.04	$116.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $520.00	Facility		$100.00	$100.00	$520.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $290.20 / $290.20 / $290.20	Professional		$290.20	$290.20	$290.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $242.71 / $247.56 / $514.54	Facility		$242.71	$247.56	$514.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $900.00 / $900.00	Professional		$900.00	$900.00	$900.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $242.71 / $252.42 / $514.54	Facility		$242.71	$252.42	$514.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.04 / $116.04 / $116.04	Professional		$116.04	$116.04	$116.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $172.72 / $172.72 / $233.17	Professional		$172.72	$172.72	$233.17