Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,186.00 / $10,836.00	Facility		$872.00	$3,186.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $989.02 / $1,116.41 / $3,712.85	Professional		$989.02	$1,116.41	$3,712.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,121.80 / $3,121.80 / $3,121.80	Professional		$3,121.80	$3,121.80	$3,121.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,018.27 / $1,699.50 / $6,086.00	Facility		$1,018.27	$1,699.50	$6,086.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $886.53 / $1,129.83 / $1,539.61	Professional		$886.53	$1,129.83	$1,539.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $980.11 / $1,351.12 / $2,214.08	Professional		$980.11	$1,351.12	$2,214.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,033.29	Facility		$55.00	$55.00	$10,033.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,307.50 / $15,307.50 / $15,307.50	Professional		$15,307.50	$15,307.50	$15,307.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $989.02 / $1,240.98 / $2,237.85	Facility		$989.02	$1,240.98	$2,237.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,231.24 / $1,420.67 / $1,657.44	Professional		$1,231.24	$1,420.67	$1,657.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,065.31 / $1,304.22 / $1,628.43	Professional		$1,065.31	$1,304.22	$1,628.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $989.02 / $1,278.61 / $2,488.48	Facility		$989.02	$1,278.61	$2,488.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $980.11 / $1,381.81 / $2,569.71	Professional		$980.11	$1,381.81	$2,569.71
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,205.00 / $24,115.00	Facility		$385.00	$2,205.00	$24,115.00
United Facility/Professional Professional Modifier Low / Median / High Price $846.69 / $1,275.14 / $4,120.16	Professional		$846.69	$1,275.14	$4,120.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $808.33 / $926.36 / $1,280.41	Professional		$808.33	$926.36	$1,280.41