Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $809.96 / $3,213.00 / $10,893.00	Facility		$809.96	$3,213.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.44 / $809.96 / $1,138.10	Professional		$516.44	$809.96	$1,138.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,015.90 / $7,314.67 / $14,634.96	Facility		$4,015.90	$7,314.67	$14,634.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $617.95 / $617.95	Professional		$255.00	$617.95	$617.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,024.00 / $4,619.00	Facility		$900.00	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,069.13 / $1,336.41 / $4,119.12	Professional		$1,069.13	$1,336.41	$4,119.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,874.70 / $11,977.15 / $11,977.15	Facility		$4,874.70	$11,977.15	$11,977.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,251.44 / $6,431.20 / $7,492.43	Professional		$6,251.44	$6,431.20	$7,492.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $693.12 / $863.04 / $1,717.12	Facility		$693.12	$863.04	$1,717.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $781.03 / $828.19 / $6,634.00	Professional		$781.03	$828.19	$6,634.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $728.40 / $895.40	Professional		$5.00	$728.40	$895.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $712.77 / $877.68 / $1,756.34	Facility		$712.77	$877.68	$1,756.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $739.50 / $1,043.02 / $1,421.42	Professional		$739.50	$1,043.02	$1,421.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,200.00 / $10,600.00	Facility		$1,634.00	$4,200.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $253.75 / $595.69 / $1,067.66	Professional		$253.75	$595.69	$1,067.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $781.03 / $839.16 / $1,083.65	Professional		$781.03	$839.16	$1,083.65