Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,244.00 / $7,513.00	Facility		$521.00	$2,244.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.70 / $283.35 / $325.25	Professional		$217.70	$283.35	$325.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $5,646.00 / $8,585.00	Facility		$1,845.00	$5,646.00	$8,585.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.20 / $176.20 / $176.20	Professional		$176.20	$176.20	$176.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.96 / $2,277.00 / $4,619.00	Facility		$330.96	$2,277.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.13 / $383.91 / $1,234.79	Professional		$307.13	$383.91	$1,234.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $248.09 / $1,198.92 / $1,307.01	Facility		$248.09	$1,198.92	$1,307.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,758.75 / $1,786.43 / $2,151.44	Professional		$1,758.75	$1,786.43	$2,151.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.59 / $272.38 / $577.45	Facility		$199.59	$272.38	$577.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.70 / $104.70 / $202.49	Professional		$104.70	$104.70	$202.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $273.00 / $273.00 / $273.00	Professional		$273.00	$273.00	$273.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.23 / $275.73 / $577.45	Facility		$183.23	$275.73	$577.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $85.14 / $703.92	Professional		$85.14	$85.14	$703.92
United Facility/Professional Facility Modifier Low / Median / High Price $146.00 / $919.00 / $2,290.00	Facility		$146.00	$919.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.44 / $323.99 / $514.74	Professional		$240.44	$323.99	$514.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $202.49 / $218.65 / $279.02	Professional		$202.49	$218.65	$279.02