Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,715.35 / $12,022.64	Facility		$870.96	$3,715.35	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $812.83 / $1,621.81	Professional		$512.86	$812.83	$1,621.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,585.78 / $14,791.08	Facility		$4,073.80	$7,585.78	$14,791.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $524.81 / $616.60	Professional		$281.84	$524.81	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,479.11 / $2,511.89	Facility		$891.25	$1,479.11	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $4,073.80	Professional		$1,071.52	$1,348.96	$4,073.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $12,022.64	Facility		$12,022.64	$12,022.64	$12,022.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $7,413.10 / $7,413.10	Professional		$6,309.57	$7,413.10	$7,413.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,000.00 / $3,715.35	Facility		$691.83	$1,000.00	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $812.83 / $1,621.81	Professional		$512.86	$812.83	$1,621.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $724.44 / $977.24	Professional		$5.01	$724.44	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $912.01 / $1,698.24	Facility		$588.84	$912.01	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,380.38 / $4,073.80	Professional		$851.14	$1,380.38	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,011.87 / $10,964.78	Facility		$1,698.24	$5,011.87	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $630.96 / $1,148.15	Professional		$251.19	$630.96	$1,148.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $831.76 / $977.24	Professional		$776.25	$831.76	$977.24