Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.36 / $1,391.93 / $3,900.95	Facility		$524.36	$1,391.93	$3,900.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.92 / $524.36 / $659.43	Professional		$444.92	$524.36	$659.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.49 / $794.49 / $794.49	Professional		$794.49	$794.49	$794.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.96 / $567.33 / $2,399.96	Facility		$501.96	$567.33	$2,399.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $967.49 / $967.49 / $1,159.17	Professional		$967.49	$967.49	$1,159.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,271.18 / $3,773.83 / $3,773.83	Facility		$1,271.18	$3,773.83	$3,773.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,956.56 / $3,956.56 / $5,958.68	Professional		$3,956.56	$3,956.56	$5,958.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $476.69 / $794.49 / $1,183.79	Facility		$476.69	$794.49	$1,183.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.49 / $794.49 / $993.11	Professional		$794.49	$794.49	$993.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $715.04 / $993.11 / $1,787.60	Professional		$715.04	$993.11	$1,787.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $476.69 / $761.20 / $1,353.04	Facility		$476.69	$761.20	$1,353.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $750.74 / $873.94 / $1,390.36	Professional		$750.74	$873.94	$1,390.36
United Facility/Professional Professional Modifier Low / Median / High Price $333.69 / $333.69 / $508.47	Professional		$333.69	$333.69	$508.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $411.55 / $794.49	Professional		$239.16	$411.55	$794.49