Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.94 / $610.76 / $3,590.04	Facility		$482.94	$610.76	$3,590.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.80 / $2,043.00 / $4,940.89	Professional		$480.80	$2,043.00	$4,940.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $185.08 / $370.16 / $2,175.78	Professional		$185.08	$370.16	$2,175.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,607.14 / $7,827.18 / $15,308.00	Facility		$4,607.14	$7,827.18	$15,308.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.14 / $2,056.61 / $3,353.22	Professional		$360.14	$2,056.61	$3,353.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.66 / $608.66 / $608.66	Professional		$608.66	$608.66	$608.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,370.93	Facility		$55.00	$55.00	$4,370.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,233.84 / $16,857.77 / $20,022.30	Professional		$9,233.84	$16,857.77	$20,022.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $413.55 / $1,770.78 / $4,762.89	Facility		$413.55	$1,770.78	$4,762.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $370.16 / $668.86 / $2,936.86	Professional		$370.16	$668.86	$2,936.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $404.15 / $2,093.48 / $4,433.70	Professional		$404.15	$2,093.48	$4,433.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $404.15 / $1,941.88 / $5,382.48	Facility		$404.15	$1,941.88	$5,382.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $706.45 / $3,032.74 / $7,781.65	Professional		$706.45	$3,032.74	$7,781.65
United Facility/Professional Professional Modifier Low / Median / High Price $2,419.48 / $3,267.25 / $5,279.36	Professional		$2,419.48	$3,267.25	$5,279.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,952.90 / $2,175.78 / $3,102.25	Professional		$1,952.90	$2,175.78	$3,102.25