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 $140.21 / $165.52 / $234.84	Professional		$140.21	$165.52	$234.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $19.04 / $138.31	Professional		$19.04	$19.04	$138.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.56 / $259.36 / $388.67	Professional		$192.56	$259.36	$388.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $405.52 / $828.08 / $903.07	Facility		$405.52	$828.08	$903.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,292.08 / $1,348.00 / $1,547.40	Professional		$1,292.08	$1,348.00	$1,547.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.01 / $185.44 / $350.52	Facility		$72.01	$185.44	$350.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.58 / $68.58 / $171.15	Professional		$68.58	$68.58	$171.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $328.73 / $338.32 / $375.50	Professional		$328.73	$338.32	$375.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $189.75 / $396.25	Facility		$75.86	$189.75	$396.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.72 / $261.18 / $388.67	Professional		$158.72	$261.18	$388.67
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.52 / $262.66 / $428.20	Professional		$167.52	$262.66	$428.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.06 / $227.72 / $308.66	Professional		$218.06	$227.72	$308.66