Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.95 / $3,596.00 / $10,893.00	Facility		$315.95	$3,596.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.27 / $203.12 / $326.49	Professional		$158.27	$203.12	$326.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.28 / $619.15 / $619.15	Professional		$526.28	$619.15	$619.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.98 / $235.32 / $359.18	Professional		$197.98	$235.32	$359.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,572.30	Facility		$55.00	$55.00	$1,572.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,444.00 / $5,262.26 / $5,406.44	Professional		$3,444.00	$5,262.26	$5,406.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.27 / $201.34 / $525.87	Facility		$138.27	$201.34	$525.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.27 / $138.27 / $187.46	Professional		$138.27	$138.27	$187.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $229.80 / $229.80 / $229.80	Professional		$229.80	$229.80	$229.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.18 / $210.64 / $548.46	Facility		$145.18	$210.64	$548.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $201.53 / $242.62 / $374.91	Professional		$201.53	$242.62	$374.91
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $198.42 / $324.30	Professional		$147.13	$198.42	$324.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.27 / $138.27 / $220.11	Professional		$138.27	$138.27	$220.11