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 $3,162.28 / $3,162.28 / $4,677.35	Professional		$3,162.28	$3,162.28	$4,677.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $56.23	Facility		$54.95	$56.23	$56.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $33,884.42 / $43,651.58 / $43,651.58	Professional		$33,884.42	$43,651.58	$43,651.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,162.28 / $6,309.57	Facility		$1,000.00	$3,162.28	$6,309.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $2,454.71	Professional		$354.81	$426.58	$2,454.71
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 $1,584.89 / $3,162.28 / $6,165.95	Facility		$1,584.89	$3,162.28	$6,165.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43
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
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,090.30 / $3,981.07	Professional		$1,949.84	$3,090.30	$3,981.07