Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.00 / $2,166.00 / $7,513.00	Facility		$487.00	$2,166.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $56.96 / $81.67	Professional		$50.99	$56.96	$81.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $988.29 / $2,091.48 / $4,223.43	Facility		$988.29	$2,091.48	$4,223.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $36.22 / $36.22	Professional		$30.80	$36.22	$36.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.30 / $943.63 / $1,652.00	Facility		$711.30	$943.63	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $74.95 / $121.47	Professional		$54.55	$74.95	$121.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,728.65	Facility		$55.00	$55.00	$3,728.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $772.72 / $772.72 / $772.72	Professional		$772.72	$772.72	$772.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.10 / $67.33 / $112.66	Facility		$53.10	$67.33	$112.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $3,330.00 / $3,879.00	Professional		$52.04	$3,330.00	$3,879.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $71.50 / $109.50	Professional		$5.00	$71.50	$109.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.14 / $68.40 / $124.49	Facility		$53.14	$68.40	$124.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.31 / $75.54 / $127.78	Professional		$56.31	$75.54	$127.78
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,480.00	Facility		$593.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $60.25 / $93.82	Professional		$45.22	$60.25	$93.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $156.80 / $211.68	Professional		$67.48	$156.80	$211.68