Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $2,444.00 / $7,513.00	Facility		$649.00	$2,444.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.62 / $896.00 / $3,150.00	Professional		$192.62	$896.00	$3,150.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $723.05 / $1,233.89 / $2,664.27	Facility		$723.05	$1,233.89	$2,664.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,277.00 / $4,619.00	Facility		$900.00	$2,277.00	$4,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,191.64 / $6,191.64 / $6,191.64	Professional		$6,191.64	$6,191.64	$6,191.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.62 / $111.62 / $2,629.20	Facility		$111.62	$111.62	$2,629.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,330.00 / $3,330.00 / $3,879.00	Professional		$3,330.00	$3,330.00	$3,879.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,000.00 / $4,380.00 / $4,380.00	Professional		$4,000.00	$4,380.00	$4,380.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.62 / $2,024.00 / $2,530.00	Facility		$111.62	$2,024.00	$2,530.00
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 $1,864.00 / $1,864.00 / $1,864.00	Professional		$1,864.00	$1,864.00	$1,864.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $611.55 / $750.00 / $750.00	Professional		$611.55	$750.00	$750.00