Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.76 / $3,570.00 / $10,893.00	Facility		$386.76	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.32 / $252.44 / $500.00	Professional		$218.32	$252.44	$500.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,185.66 / $1,394.90 / $1,394.90	Professional		$1,185.66	$1,394.90	$1,394.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.22 / $2,024.00 / $4,619.00	Facility		$297.22	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.67 / $314.58 / $494.78	Professional		$243.67	$314.58	$494.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,884.00	Facility		$55.00	$55.00	$3,884.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,385.00 / $4,385.00 / $4,385.00	Professional		$4,385.00	$4,385.00	$4,385.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.49 / $283.11 / $550.52	Facility		$229.49	$283.11	$550.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.79 / $234.79 / $252.82	Professional		$234.79	$234.79	$252.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $220.00 / $250.60	Professional		$220.00	$220.00	$250.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.49 / $289.37 / $651.38	Facility		$229.49	$289.37	$651.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.46 / $314.58 / $484.82	Professional		$250.46	$314.58	$484.82
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 $182.11 / $244.23 / $397.54	Professional		$182.11	$244.23	$397.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $252.82 / $263.06 / $362.68	Professional		$252.82	$263.06	$362.68