Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,682.00 / $11,300.00	Facility		$797.00	$3,682.00	$11,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.17 / $635.03 / $889.22	Professional		$491.17	$635.03	$889.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $736.26 / $736.26 / $736.26	Professional		$736.26	$736.26	$736.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,521.36 / $9,466.31 / $19,056.36	Facility		$5,521.36	$9,466.31	$19,056.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $820.86 / $965.72 / $965.72	Professional		$820.86	$965.72	$965.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.78 / $5,315.00 / $9,352.00	Facility		$730.78	$5,315.00	$9,352.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $590.58 / $795.80 / $1,261.18	Professional		$590.58	$795.80	$1,261.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $53,671.00	Facility		$55.00	$55.00	$53,671.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,861.88 / $4,750.00 / $4,929.75	Professional		$3,861.88	$4,750.00	$4,929.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $442.49 / $597.29 / $1,369.39	Facility		$442.49	$597.29	$1,369.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $442.49 / $489.63 / $13,222.00	Professional		$442.49	$489.63	$13,222.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $1,309.76	Professional		$7.00	$7.00	$1,309.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $442.49 / $610.05 / $1,432.80	Facility		$442.49	$610.05	$1,432.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $595.00 / $795.80 / $1,228.83	Professional		$595.00	$795.80	$1,228.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.00 / $9,027.00 / $20,955.00	Facility		$4,409.00	$9,027.00	$20,955.00
United Facility/Professional Professional Modifier Low / Median / High Price $362.88 / $547.73 / $1,011.17	Professional		$362.88	$547.73	$1,011.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $442.49 / $486.74 / $742.11	Professional		$442.49	$486.74	$742.11