Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.00 / $2,673.00 / $7,542.00	Facility		$662.00	$2,673.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.12 / $136.33 / $154.88	Professional		$91.12	$136.33	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,576.27 / $2,600.03 / $5,655.07	Facility		$1,576.27	$2,600.03	$5,655.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,029.65 / $2,692.61 / $4,939.00	Facility		$2,029.65	$2,692.61	$4,939.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.76 / $679.76 / $679.76	Professional		$679.76	$679.76	$679.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $804.36 / $10,639.60 / $10,639.60	Facility		$804.36	$10,639.60	$10,639.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,032.00 / $1,063.52 / $1,235.40	Professional		$1,032.00	$1,063.52	$1,235.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.73 / $146.97 / $283.85	Facility		$121.73	$146.97	$283.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $133.61 / $133.61 / $136.68	Professional		$133.61	$133.61	$136.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $180.20	Professional		$5.00	$5.00	$180.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.09 / $148.32 / $326.43	Facility		$128.09	$148.32	$326.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.78 / $185.04 / $248.90	Professional		$129.78	$185.04	$248.90
United Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $2,375.00 / $4,787.00	Facility		$720.00	$2,375.00	$4,787.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.27 / $159.93 / $252.41	Professional		$118.27	$159.93	$252.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $133.61 / $142.46 / $184.57	Professional		$133.61	$142.46	$184.57