Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.13 / $1,160.38 / $3,251.99	Facility		$437.13	$1,160.38	$3,251.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.90 / $437.13 / $549.73	Professional		$370.90	$437.13	$549.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $662.32 / $662.32 / $662.32	Professional		$662.32	$662.32	$662.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.45 / $472.94 / $2,001.28	Facility		$418.45	$472.94	$2,001.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $806.83 / $806.83 / $966.67	Professional		$806.83	$806.83	$966.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,059.71 / $3,146.02 / $3,146.02	Facility		$1,059.71	$3,146.02	$3,146.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,298.35 / $3,298.35 / $4,967.39	Professional		$3,298.35	$3,298.35	$4,967.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $397.39 / $662.32 / $986.86	Facility		$397.39	$662.32	$986.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $662.32 / $662.32 / $827.90	Professional		$662.32	$662.32	$827.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $596.09 / $827.90 / $1,490.22	Professional		$596.09	$827.90	$1,490.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $397.39 / $634.58 / $1,127.95	Facility		$397.39	$634.58	$1,127.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $626.02 / $728.55 / $1,159.06	Professional		$626.02	$728.55	$1,159.06
United Facility/Professional Professional Modifier Low / Median / High Price $278.17 / $278.17 / $423.88	Professional		$278.17	$278.17	$423.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $662.32 / $894.13 / $2,000.00	Professional		$662.32	$894.13	$2,000.00