Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,236.00 / $7,513.00	Facility		$521.00	$2,236.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.97 / $293.12 / $326.70	Professional		$206.97	$293.12	$326.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $777.22 / $1,287.26 / $3,044.10	Facility		$777.22	$1,287.26	$3,044.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.75 / $166.75 / $166.75	Professional		$166.75	$166.75	$166.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $935.02 / $1,240.44 / $3,559.00	Facility		$935.02	$1,240.44	$3,559.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,428.12 / $1,428.12 / $1,428.12	Professional		$1,428.12	$1,428.12	$1,428.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,804.44 / $4,901.45 / $4,901.45	Facility		$1,804.44	$4,901.45	$4,901.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,229.60 / $2,314.16 / $2,772.00	Professional		$2,229.60	$2,314.16	$2,772.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.16 / $285.97 / $501.63	Facility		$125.16	$285.97	$501.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.19 / $115.19 / $306.57	Professional		$115.19	$115.19	$306.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $378.30	Professional		$5.00	$5.00	$378.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.66 / $294.73 / $598.82	Facility		$129.66	$294.73	$598.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.16 / $294.17 / $552.35	Professional		$147.16	$294.17	$552.35
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,045.00 / $4,480.00	Facility		$597.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.90 / $340.16 / $533.15	Professional		$250.90	$340.16	$533.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $233.86 / $275.73 / $374.37	Professional		$233.86	$275.73	$374.37