Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.00 / $3,570.00 / $10,893.00	Facility		$799.00	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.76 / $778.91 / $1,090.68	Professional		$621.76	$778.91	$1,090.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,751.09 / $3,092.35 / $7,495.42	Facility		$1,751.09	$3,092.35	$7,495.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,367.13 / $1,367.13 / $1,367.13	Professional		$1,367.13	$1,367.13	$1,367.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,024.00 / $4,619.00	Facility		$900.00	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $678.98 / $1,001.45 / $1,579.31	Professional		$678.98	$1,001.45	$1,579.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,264.24	Facility		$55.00	$55.00	$7,264.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,708.72 / $5,864.80 / $6,840.23	Professional		$5,708.72	$5,864.80	$6,840.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $638.39 / $778.91 / $1,539.54	Facility		$638.39	$778.91	$1,539.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $610.16 / $610.16 / $715.96	Professional		$610.16	$610.16	$715.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $987.90	Professional		$7.00	$7.00	$987.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $647.53 / $799.24 / $1,752.55	Facility		$647.53	$799.24	$1,752.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $678.98 / $1,013.69 / $1,574.26	Professional		$678.98	$1,013.69	$1,574.26
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 $528.61 / $788.10 / $1,670.76	Professional		$528.61	$788.10	$1,670.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $666.03 / $722.94 / $972.82	Professional		$666.03	$722.94	$972.82