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 $113.69 / $127.02 / $180.86	Professional		$113.69	$127.02	$180.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.77 / $877.48 / $3,283.99	Facility		$509.77	$877.48	$3,283.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.24 / $27.24 / $27.24	Professional		$27.24	$27.24	$27.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.30 / $943.63 / $2,530.00	Facility		$711.30	$943.63	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.92 / $164.93 / $268.10	Professional		$118.92	$164.93	$268.10
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 $872.64 / $898.24 / $1,046.40	Professional		$872.64	$898.24	$1,046.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.46 / $148.15 / $251.18	Facility		$117.46	$148.15	$251.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.67 / $3,330.00 / $3,879.00	Professional		$115.67	$3,330.00	$3,879.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $158.80 / $222.30	Professional		$5.00	$158.80	$222.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.48 / $150.37 / $277.54	Facility		$118.48	$150.37	$277.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.76 / $167.27 / $268.51	Professional		$124.76	$167.27	$268.51
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,475.00	Facility		$593.00	$2,045.00	$4,475.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.34 / $133.62 / $212.75	Professional		$101.34	$133.62	$212.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.91 / $141.91 / $191.58	Professional		$141.91	$141.91	$191.58