Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,202.26	Professional		$616.60	$812.83	$1,202.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,162.28 / $7,413.10	Facility		$1,819.70	$3,162.28	$7,413.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,288.25 / $2,511.89	Facility		$891.25	$1,288.25	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,000.00 / $1,819.70	Professional		$616.60	$1,000.00	$1,819.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,244.36	Facility		$54.95	$56.23	$7,244.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,918.31 / $6,918.31	Professional		$5,754.40	$6,918.31	$6,918.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $891.25 / $2,570.40	Facility		$660.69	$891.25	$2,570.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $794.33 / $1,071.52	Professional		$489.78	$794.33	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $97.72 / $616.60	Professional		$91.20	$97.72	$616.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $891.25 / $1,737.80	Facility		$645.65	$891.25	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $954.99 / $1,584.89	Professional		$562.34	$954.99	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,290.87 / $10,000.00	Facility		$407.38	$2,290.87	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,698.24	Professional		$562.34	$794.33	$1,698.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $912.01	Professional		$501.19	$724.44	$912.01