Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,162.43 / $9,272.02 / $18,811.09	Facility		$5,162.43	$9,272.02	$18,811.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $410.11 / $482.48 / $482.48	Professional		$410.11	$482.48	$482.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $877.70 / $1,512.42 / $3,160.96	Facility		$877.70	$1,512.42	$3,160.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $877.70 / $877.70 / $877.70	Professional		$877.70	$877.70	$877.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,167.30 / $3,781.75 / $5,190.97	Professional		$3,167.30	$3,781.75	$5,190.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $789.93 / $1,009.36 / $1,689.10	Facility		$789.93	$1,009.36	$1,689.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $877.70 / $877.70 / $877.70	Professional		$877.70	$877.70	$877.70
United Facility/Professional Professional Modifier Low / Median / High Price $756.79 / $993.29 / $1,608.18	Professional		$756.79	$993.29	$1,608.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $877.70 / $965.20 / $1,214.14	Professional		$877.70	$965.20	$1,214.14