Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $229.09 / $323.59	Facility		$131.83	$229.09	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $186.21	Professional		$131.83	$131.83	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $870.96 / $1,621.81	Facility		$346.74	$870.96	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $131.83 / $131.83	Facility		$125.89	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $190.55 / $323.59	Facility		$131.83	$190.55	$323.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $134.90 / $169.82	Professional		$125.89	$134.90	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $131.83	Professional		$117.49	$117.49	$131.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $190.55 / $426.58	Facility		$131.83	$190.55	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $147.91 / $147.91	Professional		$131.83	$147.91	$147.91