Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.02 / $3,596.00 / $10,836.00	Facility		$646.02	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.25 / $454.13 / $882.33	Professional		$384.25	$454.13	$882.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,014.85 / $2,014.85 / $2,014.85	Professional		$2,014.85	$2,014.85	$2,014.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $517.64 / $650.09	Professional		$378.00	$517.64	$650.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,109.33	Facility		$55.00	$55.00	$2,109.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,790.35 / $7,231.97 / $7,231.97	Professional		$6,790.35	$7,231.97	$7,231.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $419.63 / $535.41 / $938.04	Facility		$419.63	$535.41	$938.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $375.85 / $375.85 / $509.92	Professional		$375.85	$375.85	$509.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $453.50 / $453.50 / $453.50	Professional		$453.50	$453.50	$453.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $419.63 / $533.34 / $1,102.58	Facility		$419.63	$533.34	$1,102.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $517.52 / $650.09	Professional		$378.00	$517.52	$650.09
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 $299.20 / $408.94 / $649.00	Professional		$299.20	$408.94	$649.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $509.92 / $607.29 / $722.83	Professional		$509.92	$607.29	$722.83