Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,236.00 / $7,513.00	Facility		$521.00	$2,236.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $58.78 / $70.54	Professional		$21.27	$58.78	$70.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.67 / $306.67 / $306.67	Professional		$260.67	$306.67	$306.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.25 / $34.40 / $40.31	Professional		$32.25	$34.40	$40.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $190.11 / $402.67 / $460.37	Facility		$190.11	$402.67	$460.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $547.67 / $595.04 / $743.48	Professional		$547.67	$595.04	$743.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.78 / $124.61 / $167.57	Facility		$58.78	$124.61	$167.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.88 / $76.88 / $128.90	Professional		$76.88	$76.88	$128.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $62.60 / $62.60	Professional		$62.60	$62.60	$62.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.78 / $108.42 / $175.92	Facility		$58.78	$108.42	$175.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $82.58 / $120.44	Professional		$64.75	$82.58	$120.44
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $21.84 / $37.29	Professional		$16.54	$21.84	$37.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.32 / $128.90 / $174.02	Professional		$63.32	$128.90	$174.02