Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.97 / $3,570.00 / $10,893.00	Facility		$734.97	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.12 / $690.59 / $974.33	Professional		$548.12	$690.59	$974.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,642.76 / $2,805.41 / $8,676.10	Facility		$1,642.76	$2,805.41	$8,676.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,086.96 / $1,278.78 / $1,278.78	Professional		$1,086.96	$1,278.78	$1,278.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.30 / $2,024.00 / $4,619.00	Facility		$843.30	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.10 / $883.58 / $1,383.99	Professional		$615.10	$883.58	$1,383.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,324.96	Facility		$55.00	$55.00	$6,324.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,970.56 / $5,193.35 / $6,425.78	Professional		$4,970.56	$5,193.35	$6,425.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $600.72 / $718.71 / $1,365.09	Facility		$600.72	$718.71	$1,365.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $372.14 / $577.63 / $658.59	Professional		$372.14	$577.63	$658.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $2,074.90	Professional		$7.00	$7.00	$2,074.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.92 / $728.71 / $1,516.78	Facility		$616.92	$728.71	$1,516.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $622.79 / $884.20 / $1,366.98	Professional		$622.79	$884.20	$1,366.98
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,583.00	Facility		$385.00	$1,970.00	$8,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $520.54 / $708.40 / $1,429.01	Professional		$520.54	$708.40	$1,429.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $629.52 / $681.31 / $914.92	Professional		$629.52	$681.31	$914.92