Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,570.00 / $10,893.00	Facility		$945.00	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $3,279.38	Professional		$1,987.50	$1,987.50	$3,279.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,064.82 / $1,795.86 / $5,048.72	Facility		$1,064.82	$1,795.86	$5,048.72
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $574.00 / $784.00	Professional		$350.00	$574.00	$784.00
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 $4,637.50 / $4,637.50 / $4,637.50	Professional		$4,637.50	$4,637.50	$4,637.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $4,471.88	Facility		$1,987.50	$1,987.50	$4,471.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $7.00	Professional		$7.00	$7.00	$7.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $5,177.04	Facility		$1,987.50	$1,987.50	$5,177.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $364.00 / $581.00 / $771.75	Professional		$364.00	$581.00	$771.75
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
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $740.47 / $740.47 / $999.63	Professional		$740.47	$740.47	$999.63