Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.25 / $3,596.00 / $10,836.00	Facility		$489.25	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.72 / $305.77 / $458.67	Professional		$228.72	$305.77	$458.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,660.47 / $1,660.47 / $1,660.47	Professional		$1,660.47	$1,660.47	$1,660.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.75 / $369.57 / $508.96	Professional		$277.75	$369.57	$508.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,884.30	Facility		$55.00	$55.00	$4,884.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,680.00 / $13,680.00 / $13,680.00	Professional		$13,680.00	$13,680.00	$13,680.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $268.64 / $356.51 / $698.50	Facility		$268.64	$356.51	$698.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $259.55 / $259.55 / $332.85	Professional		$259.55	$259.55	$332.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $268.64 / $355.66 / $776.64	Facility		$268.64	$355.66	$776.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $264.83 / $365.37 / $508.96	Professional		$264.83	$365.37	$508.96
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.69 / $317.17 / $492.42	Professional		$222.69	$317.17	$492.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $332.85 / $340.97 / $472.31	Professional		$332.85	$340.97	$472.31