Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,511.89 / $7,585.78	Facility		$630.96	$2,511.89	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $131.83 / $204.17	Professional		$114.82	$131.83	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $891.25 / $3,388.44	Facility		$537.03	$891.25	$3,388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $870.96 / $1,122.02	Facility		$204.17	$870.96	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $323.59	Professional		$114.82	$162.18	$323.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,715.35	Facility		$54.95	$56.23	$3,715.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,047.13	Professional		$870.96	$1,047.13	$1,047.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $165.96 / $1,905.46	Facility		$120.23	$165.96	$1,905.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $181.97	Professional		$112.20	$128.82	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $26.92 / $34.67	Professional		$24.55	$26.92	$34.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $204.17 / $245.47	Professional		$5.01	$204.17	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $154.88 / $251.19	Facility		$117.49	$154.88	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $323.59	Professional		$114.82	$162.18	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $204.17	Professional		$102.33	$131.83	$204.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $141.25 / $177.83	Professional		$16.98	$141.25	$177.83