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 $177.83 / $213.80 / $380.19	Professional		$177.83	$213.80	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $239.88 / $380.19	Professional		$194.98	$239.88	$380.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,584.89	Facility		$54.95	$56.23	$1,584.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $5,370.32	Professional		$3,467.37	$3,467.37	$5,370.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $338.84 / $5,128.61	Facility		$177.83	$338.84	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $549.54	Professional		$181.97	$208.93	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $17.38 / $109.65	Professional		$16.22	$17.38	$109.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $245.47 / $524.81	Facility		$181.97	$245.47	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $380.19	Professional		$186.21	$245.47	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $316.23	Professional		$144.54	$194.98	$316.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04