Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.98 / $3,213.00 / $11,453.00	Facility		$740.98	$3,213.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.18 / $487.97 / $785.50	Professional		$403.18	$487.97	$785.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.96 / $464.11 / $745.37	Professional		$442.96	$464.11	$745.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.66 / $551.66 / $551.66	Facility		$551.66	$551.66	$551.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.28 / $616.13 / $925.86	Professional		$446.28	$616.13	$925.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $8,957.00	Facility		$55.00	$2,000.00	$8,957.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,522.96 / $3,591.28 / $4,192.20	Professional		$3,522.96	$3,591.28	$4,192.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $442.44 / $543.72 / $857.39	Facility		$442.44	$543.72	$857.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $599.63 / $719.55 / $892.24	Professional		$599.63	$719.55	$892.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $510.10 / $510.10 / $510.10	Professional		$510.10	$510.10	$510.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $442.98 / $548.25 / $881.17	Facility		$442.98	$548.25	$881.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $455.69 / $638.52 / $971.31	Professional		$455.69	$638.52	$971.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.99 / $491.18 / $772.55	Professional		$366.99	$491.18	$772.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $409.41 / $463.11 / $646.54	Professional		$409.41	$463.11	$646.54