Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $912.01 / $2,884.03	Facility		$380.19	$912.01	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $691.83	Professional		$380.19	$478.63	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $489.78 / $2,818.38	Facility		$416.87	$489.78	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $933.25	Professional		$776.25	$776.25	$933.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,786.30 / $4,786.30	Professional		$3,162.28	$4,786.30	$4,786.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $630.96 / $1,174.90	Facility		$478.63	$630.96	$1,174.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $776.25	Professional		$380.19	$512.86	$776.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $691.83 / $1,348.96	Professional		$630.96	$691.83	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $630.96 / $1,737.80	Facility		$380.19	$630.96	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $676.08 / $1,174.90	Professional		$602.56	$676.08	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $269.15 / $630.96	Facility		$229.09	$269.15	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $436.52	Professional		$269.15	$269.15	$436.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $630.96 / $630.96	Professional		$549.54	$630.96	$630.96