Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.03 / $3,570.00 / $10,893.00	Facility		$645.03	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.52 / $493.93 / $2,311.62	Professional		$428.52	$493.93	$2,311.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,704.87 / $1,704.87 / $1,704.87	Professional		$1,704.87	$1,704.87	$1,704.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.70 / $2,024.00 / $4,619.00	Facility		$547.70	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.23 / $596.41 / $923.98	Professional		$469.23	$596.41	$923.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,500.00	Facility		$55.00	$55.00	$16,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,250.00 / $16,500.00 / $16,500.00	Professional		$14,250.00	$16,500.00	$16,500.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $442.83 / $528.61 / $1,217.28	Facility		$442.83	$528.61	$1,217.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $460.49 / $460.49 / $474.88	Professional		$460.49	$460.49	$474.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $471.80 / $471.80 / $537.29	Professional		$471.80	$471.80	$537.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.57 / $540.54 / $1,278.58	Facility		$446.57	$540.54	$1,278.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $460.18 / $596.41 / $894.50	Professional		$460.18	$596.41	$894.50
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 $387.65 / $514.20 / $814.46	Professional		$387.65	$514.20	$814.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $474.88 / $503.44 / $670.11	Professional		$474.88	$503.44	$670.11