Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $761.52 / $942.74 / $972.20	Facility		$761.52	$942.74	$972.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.97 / $913.28 / $2,777.74	Professional		$765.97	$913.28	$2,777.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,387.39 / $10,387.39 / $10,387.39	Facility		$10,387.39	$10,387.39	$10,387.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $564.63 / $657.16 / $980.57	Professional		$564.63	$657.16	$980.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,013.70 / $1,013.70 / $1,013.70	Professional		$1,013.70	$1,013.70	$1,013.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,498.75 / $4,647.20 / $5,325.08	Professional		$4,498.75	$4,647.20	$5,325.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $632.75 / $840.15 / $1,482.69	Facility		$632.75	$840.15	$1,482.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $589.21 / $589.21 / $589.21	Professional		$589.21	$589.21	$589.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $750.90 / $1,045.47 / $2,276.71	Professional		$750.90	$1,045.47	$2,276.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $618.66 / $915.05 / $1,511.41	Facility		$618.66	$915.05	$1,511.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $589.21 / $1,062.71 / $1,902.41	Professional		$589.21	$1,062.71	$1,902.41
United Facility/Professional Facility Modifier Low / Median / High Price $4,060.67 / $4,159.02 / $4,381.22	Facility		$4,060.67	$4,159.02	$4,381.22
United Facility/Professional Professional Modifier Low / Median / High Price $563.52 / $729.27 / $1,154.89	Professional		$563.52	$729.27	$1,154.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $514.32 / $589.21 / $804.98	Professional		$514.32	$589.21	$804.98