Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.00 / $3,570.00 / $10,893.00	Facility		$647.00	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.19 / $509.38 / $6,249.99	Professional		$441.19	$509.38	$6,249.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,666.26 / $1,666.26 / $1,666.26	Professional		$1,666.26	$1,666.26	$1,666.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.91 / $2,024.00 / $4,619.00	Facility		$564.91	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.10 / $615.21 / $952.29	Professional		$483.10	$615.21	$952.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,902.40	Facility		$55.00	$55.00	$2,902.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,959.60 / $5,925.00 / $5,925.00	Professional		$4,959.60	$5,925.00	$5,925.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $449.89 / $524.65 / $1,175.65	Facility		$449.89	$524.65	$1,175.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $449.89 / $449.89 / $474.28	Professional		$449.89	$449.89	$474.28
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 $455.26 / $532.60 / $1,316.39	Facility		$455.26	$532.60	$1,316.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $495.74 / $615.21 / $925.84	Professional		$495.74	$615.21	$925.84
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 $388.84 / $523.09 / $814.57	Professional		$388.84	$523.09	$814.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $449.89 / $476.95 / $634.85	Professional		$449.89	$476.95	$634.85