Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.49 / $206.49 / $589.98	Professional		$206.49	$206.49	$589.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $362.30 / $946.16 / $1,109.17	Facility		$362.30	$946.16	$1,109.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,172.58 / $1,172.58 / $1,594.65	Professional		$1,172.58	$1,172.58	$1,594.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $182.39 / $245.40 / $478.53	Facility		$182.39	$245.40	$478.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $166.06 / $166.06 / $231.71	Professional		$166.06	$166.06	$231.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $292.24 / $358.45 / $403.29	Professional		$292.24	$358.45	$403.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.47 / $255.10 / $417.36	Facility		$193.47	$255.10	$417.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $150.40 / $166.06	Professional		$47.75	$150.40	$166.06
United Facility/Professional Facility Modifier Low / Median / High Price $197.54 / $202.33 / $213.14	Facility		$197.54	$202.33	$213.14
United Facility/Professional Professional Modifier Low / Median / High Price $145.11 / $212.28 / $289.76	Professional		$145.11	$212.28	$289.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $205.65 / $231.71 / $330.41	Professional		$205.65	$231.71	$330.41