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 $246.93 / $291.52 / $388.60	Professional		$246.93	$291.52	$388.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $286.64 / $496.25 / $2,074.39	Facility		$286.64	$496.25	$2,074.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.35 / $38.35 / $138.31	Professional		$38.35	$38.35	$138.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.02 / $542.02 / $542.02	Facility		$542.02	$542.02	$542.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.69 / $460.01 / $669.56	Professional		$339.69	$460.01	$669.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,516.88 / $3,079.52 / $3,079.52	Facility		$2,516.88	$3,079.52	$3,079.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,375.60 / $2,419.84 / $2,900.33	Professional		$2,375.60	$2,419.84	$2,900.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.16 / $329.17 / $647.23	Facility		$107.16	$329.17	$647.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.06 / $320.67 / $4,336.00	Professional		$102.06	$320.67	$4,336.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $545.16 / $561.09 / $626.20	Professional		$545.16	$561.09	$626.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.23 / $347.45 / $697.84	Facility		$113.23	$347.45	$697.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $282.25 / $463.02 / $669.56	Professional		$282.25	$463.02	$669.56
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,400.00	Facility		$369.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.75 / $444.85 / $686.35	Professional		$298.75	$444.85	$686.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $387.26 / $405.63 / $550.57	Professional		$387.26	$405.63	$550.57