Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $12,882.50	Facility		$977.24	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $512.86 / $1,348.96	Professional		$457.09	$512.86	$1,348.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $891.25 / $2,511.89	Facility		$851.14	$891.25	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $1,096.48	Professional		$467.74	$616.60	$1,096.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,019.95	Facility		$54.95	$56.23	$3,019.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,888.44	Professional		$5,011.87	$5,011.87	$5,888.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $630.96 / $3,890.45	Facility		$457.09	$630.96	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $512.86 / $6,309.57	Professional		$457.09	$512.86	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $64.57 / $407.38	Professional		$58.88	$64.57	$407.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $562.34	Professional		$467.74	$467.74	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $616.60 / $1,380.38	Facility		$446.68	$616.60	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $933.25	Professional		$436.52	$616.60	$933.25
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
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $524.81 / $794.33	Professional		$389.05	$524.81	$794.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $562.34	Professional		$354.81	$478.63	$562.34