Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $309.03 / $630.96	Facility		$79.43	$309.03	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $91.20	Professional		$64.57	$79.43	$91.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $363.08 / $4,265.80	Facility		$281.84	$363.08	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
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 $81.28 / $83.18 / $169.82	Facility		$81.28	$83.18	$169.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $79.43	Professional		$57.54	$79.43	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $100.00	Professional		$61.66	$83.18	$100.00
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 $81.28 / $85.11 / $169.82	Facility		$81.28	$85.11	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $234.42 / $309.03	Facility		$114.82	$234.42	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $204.17	Professional		$93.33	$93.33	$204.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $186.21	Professional		$141.25	$147.91	$186.21