Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $3,682.00 / $12,040.00	Facility		$714.00	$3,682.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.07 / $428.95 / $495.58	Professional		$311.07	$428.95	$495.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $963.26 / $963.26 / $963.26	Professional		$963.26	$963.26	$963.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,215.44 / $3,934.64 / $4,047.84	Facility		$3,215.44	$3,934.64	$4,047.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,092.00 / $3,180.32 / $3,705.15	Professional		$3,092.00	$3,180.32	$3,705.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $368.72 / $458.04 / $900.02	Facility		$368.72	$458.04	$900.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $409.69 / $409.69 / $409.69	Professional		$409.69	$409.69	$409.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $562.50	Professional		$7.00	$7.00	$562.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $390.95 / $459.94 / $1,025.56	Facility		$390.95	$459.94	$1,025.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $409.69 / $591.62 / $1,097.04	Professional		$409.69	$591.62	$1,097.04
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,583.00	Facility		$385.00	$1,970.00	$8,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.37 / $496.66 / $801.87	Professional		$374.37	$496.66	$801.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $172.08 / $172.08 / $232.31	Professional		$172.08	$172.08	$232.31