Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.16 / $3,596.00 / $10,836.00	Facility		$550.16	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.75 / $377.72 / $541.50	Professional		$296.75	$377.72	$541.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,286.63 / $1,513.68 / $1,513.68	Professional		$1,286.63	$1,513.68	$1,513.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.91 / $454.91 / $625.37	Professional		$341.91	$454.91	$625.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,219.30	Facility		$55.00	$55.00	$3,219.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,305.62 / $7,231.97 / $7,231.97	Professional		$5,305.62	$7,231.97	$7,231.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $330.10 / $450.13 / $911.00	Facility		$330.10	$450.13	$911.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $308.76 / $308.76 / $425.98	Professional		$308.76	$308.76	$425.98
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 $330.10 / $433.69 / $954.28	Facility		$330.10	$433.69	$954.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $326.31 / $448.94 / $625.37	Professional		$326.31	$448.94	$625.37
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 $278.95 / $366.12 / $592.77	Professional		$278.95	$366.12	$592.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $418.66 / $425.98 / $581.94	Professional		$418.66	$425.98	$581.94