Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,172.00 / $7,513.00	Facility		$488.00	$2,172.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.93 / $253.65 / $362.15	Professional		$226.93	$253.65	$362.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $896.80 / $1,593.14 / $5,503.60	Facility		$896.80	$1,593.14	$5,503.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.86 / $122.19 / $122.19	Professional		$103.86	$122.19	$122.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,322.00 / $1,813.99 / $2,355.06	Facility		$1,322.00	$1,813.99	$2,355.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.98 / $326.31 / $513.72	Professional		$240.98	$326.31	$513.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,909.30	Facility		$55.00	$55.00	$7,909.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,746.48 / $1,800.24 / $2,091.53	Professional		$1,746.48	$1,800.24	$2,091.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $236.49 / $297.79 / $501.36	Facility		$236.49	$297.79	$501.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $231.34 / $4,663.00 / $5,830.00	Professional		$231.34	$4,663.00	$5,830.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $502.00 / $571.70	Professional		$5.00	$502.00	$571.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $236.69 / $301.88 / $553.94	Facility		$236.69	$301.88	$553.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.16 / $332.98 / $509.16	Professional		$250.16	$332.98	$509.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,284.00 / $3,866.00 / $7,608.00	Facility		$1,284.00	$3,866.00	$7,608.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.39 / $265.64 / $413.64	Professional		$202.39	$265.64	$413.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.47 / $255.77 / $344.52	Professional		$239.47	$255.77	$344.52