Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $283.83 / $903.69	Facility		$223.87	$283.83	$903.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.32 / $795.33 / $1,258.22	Professional		$218.32	$795.33	$1,258.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.78 / $174.78 / $190.02	Professional		$174.78	$174.78	$190.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,887.00 / $4,410.41 / $6,804.32	Facility		$1,887.00	$4,410.41	$6,804.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.77 / $503.13 / $878.79	Professional		$166.77	$503.13	$878.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.45 / $276.45 / $276.45	Professional		$276.45	$276.45	$276.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $843.70	Facility		$55.00	$55.00	$843.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,620.59 / $4,455.57 / $5,015.70	Professional		$2,620.59	$4,455.57	$5,015.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $192.26 / $506.06 / $1,304.40	Facility		$192.26	$506.06	$1,304.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.02 / $172.02 / $172.02	Professional		$172.02	$172.02	$172.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $187.91 / $570.70 / $1,078.84	Professional		$187.91	$570.70	$1,078.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $187.94 / $488.81 / $1,510.66	Facility		$187.94	$488.81	$1,510.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $327.86 / $742.67 / $1,903.44	Professional		$327.86	$742.67	$1,903.44
United Facility/Professional Professional Modifier Low / Median / High Price $613.52 / $920.28 / $1,453.68	Professional		$613.52	$920.28	$1,453.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $488.92 / $547.69 / $774.77	Professional		$488.92	$547.69	$774.77