Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,071.52 / $3,388.44	Facility		$446.68	$1,071.52	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $794.33	Professional		$446.68	$562.34	$794.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $707.95 / $3,311.31	Facility		$478.63	$707.95	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,071.52	Professional		$912.01	$912.01	$1,071.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,623.41 / $5,623.41	Professional		$3,715.35	$5,623.41	$5,623.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $741.31 / $1,380.38	Facility		$562.34	$741.31	$1,380.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $891.25	Professional		$446.68	$602.56	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $794.33 / $1,584.89	Professional		$741.31	$794.33	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $741.31 / $2,041.74	Facility		$446.68	$741.31	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $776.25 / $1,380.38	Professional		$707.95	$776.25	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $512.86	Professional		$309.03	$309.03	$512.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $741.31	Professional		$588.84	$741.31	$741.31