Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.17 / $3,596.00 / $10,836.00	Facility		$536.17	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.91 / $373.67 / $465.32	Professional		$318.91	$373.67	$465.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $905.01 / $905.01 / $905.01	Professional		$905.01	$905.01	$905.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.22 / $416.48 / $512.66	Professional		$309.22	$416.48	$512.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,781.90	Facility		$55.00	$55.00	$2,781.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,705.34 / $3,705.34 / $4,701.01	Professional		$3,705.34	$3,705.34	$4,701.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $341.81 / $514.66 / $778.53	Facility		$341.81	$514.66	$778.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $277.11 / $277.11 / $509.92	Professional		$277.11	$277.11	$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 $335.11 / $479.06 / $915.10	Facility		$335.11	$479.06	$915.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $279.77 / $404.52 / $508.11	Professional		$279.77	$404.52	$508.11
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 $220.82 / $293.45 / $475.13	Professional		$220.82	$293.45	$475.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $494.34 / $509.92 / $722.83	Professional		$494.34	$509.92	$722.83