Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.16 / $1,131.08 / $16,563.59	Facility		$891.16	$1,131.08	$16,563.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.14 / $3,878.77 / $23,088.60	Professional		$876.14	$3,878.77	$23,088.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $685.51 / $690.56 / $822.61	Professional		$685.51	$690.56	$822.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,708.37 / $24,388.15 / $48,935.71	Facility		$13,708.37	$24,388.15	$48,935.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.26 / $9,673.49 / $15,772.21	Professional		$660.26	$9,673.49	$15,772.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,114.53 / $1,114.53 / $1,114.53	Professional		$1,114.53	$1,114.53	$1,114.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $19,953.80	Facility		$55.00	$55.00	$19,953.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $41,535.61 / $79,407.42 / $92,631.68	Professional		$41,535.61	$79,407.42	$92,631.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.34 / $3,272.44 / $20,265.56	Facility		$758.34	$3,272.44	$20,265.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $685.51 / $685.51 / $685.51	Professional		$685.51	$685.51	$685.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $742.54 / $9,618.48 / $20,599.05	Professional		$742.54	$9,618.48	$20,599.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $742.54 / $8,959.39 / $22,472.01	Facility		$742.54	$8,959.39	$22,472.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,296.96 / $14,303.65 / $36,594.87	Professional		$1,296.96	$14,303.65	$36,594.87
United Facility/Professional Facility Modifier Low / Median / High Price $18,983.22 / $18,983.22 / $18,983.22	Facility		$18,983.22	$18,983.22	$18,983.22
United Facility/Professional Professional Modifier Low / Median / High Price $11,320.01 / $14,905.86 / $23,743.19	Professional		$11,320.01	$14,905.86	$23,743.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9,043.43 / $10,038.53 / $14,391.62	Professional		$9,043.43	$10,038.53	$14,391.62