Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.86 / $590.03 / $1,274.20	Facility		$189.86	$590.03	$1,274.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.22 / $169.64 / $274.58	Professional		$158.22	$169.64	$274.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.94 / $47.94 / $47.94	Professional		$47.94	$47.94	$47.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,104.58 / $5,622.32 / $6,592.43	Facility		$1,104.58	$5,622.32	$6,592.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,299.47 / $6,299.47 / $10,389.98	Professional		$6,299.47	$6,299.47	$10,389.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.97 / $180.19 / $956.98	Facility		$140.97	$180.19	$956.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $463.86 / $463.86 / $463.86	Professional		$463.86	$463.86	$463.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,052.31 / $1,903.18 / $2,784.28	Professional		$1,052.31	$1,903.18	$2,784.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.21 / $525.00 / $1,915.48	Facility		$183.21	$525.00	$1,915.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.08 / $257.58 / $738.12	Professional		$216.08	$257.58	$738.12
United Facility/Professional Professional Modifier Low / Median / High Price $138.01 / $188.65 / $326.87	Professional		$138.01	$188.65	$326.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.13 / $1,600.00 / $2,160.00	Professional		$162.13	$1,600.00	$2,160.00