Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.00 / $2,673.00 / $7,542.00	Facility		$661.00	$2,673.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.58 / $369.16 / $422.73	Professional		$265.58	$369.16	$422.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $833.89 / $1,376.32 / $3,278.88	Facility		$833.89	$1,376.32	$3,278.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.28 / $223.28 / $223.28	Professional		$223.28	$223.28	$223.28
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 $1,833.48 / $1,833.48 / $1,833.48	Professional		$1,833.48	$1,833.48	$1,833.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,014.80 / $4,901.45 / $4,901.45	Facility		$2,014.80	$4,901.45	$4,901.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,584.16 / $2,863.76 / $3,336.38	Professional		$2,584.16	$2,863.76	$3,336.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.43 / $366.97 / $645.29	Facility		$140.43	$366.97	$645.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $342.31	Professional		$129.47	$129.47	$342.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $490.60	Professional		$5.00	$5.00	$490.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.37 / $377.08 / $768.44	Facility		$146.37	$377.08	$768.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $342.31 / $505.10 / $1,833.48	Professional		$342.31	$505.10	$1,833.48
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 $321.92 / $436.45 / $702.45	Professional		$321.92	$436.45	$702.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $258.05 / $356.50 / $484.23	Professional		$258.05	$356.50	$484.23