Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.00 / $2,594.00 / $7,542.00	Facility		$632.00	$2,594.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.45 / $316.81 / $452.57	Professional		$283.45	$316.81	$452.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,349.34 / $2,509.77 / $5,456.92	Facility		$1,349.34	$2,509.77	$5,456.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.80 / $172.71 / $172.71	Professional		$146.80	$172.71	$172.71
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 $300.00 / $405.95 / $637.10	Professional		$300.00	$405.95	$637.10
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 $2,185.92 / $2,251.36 / $2,619.44	Professional		$2,185.92	$2,251.36	$2,619.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $295.39 / $372.22 / $626.23	Facility		$295.39	$372.22	$626.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $289.64 / $4,663.00 / $5,830.00	Professional		$289.64	$4,663.00	$5,830.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $350.40 / $522.29	Professional		$5.00	$350.40	$522.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $296.14 / $377.41 / $691.92	Facility		$296.14	$377.41	$691.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $311.27 / $407.68 / $630.22	Professional		$311.27	$407.68	$630.22
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 $253.21 / $332.34 / $522.66	Professional		$253.21	$332.34	$522.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $230.80 / $230.80 / $394.12	Professional		$230.80	$230.80	$394.12