Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.96 / $36.85 / $36.85	Facility		$35.96	$36.85	$36.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $36.85 / $38.20	Professional		$35.96	$36.85	$38.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.06 / $92.96 / $186.96	Facility		$37.06	$92.96	$186.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.62 / $67.53 / $67.53	Professional		$55.62	$67.53	$67.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $44.94 / $44.94	Facility		$44.94	$44.94	$44.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $44.94 / $44.94	Professional		$44.94	$44.94	$44.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.26 / $152.21 / $157.75	Facility		$55.26	$152.21	$157.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,816.40 / $1,816.40 / $1,816.40	Professional		$1,816.40	$1,816.40	$1,816.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.85 / $44.94 / $69.43	Facility		$36.85	$44.94	$69.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $26.29 / $31.97	Professional		$26.29	$26.29	$31.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.44 / $71.90 / $82.50	Professional		$49.44	$71.90	$82.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.85 / $44.94 / $70.43	Facility		$36.85	$44.94	$70.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $44.94 / $44.94	Professional		$44.94	$44.94	$44.94
United Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $50.94 / $50.94	Professional		$50.94	$50.94	$50.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $44.94 / $60.67	Professional		$44.94	$44.94	$60.67