Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $3,596.00 / $10,893.00	Facility		$657.00	$3,596.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.87 / $460.50 / $752.40	Professional		$397.87	$460.50	$752.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.47 / $547.92 / $743.79	Professional		$433.47	$547.92	$743.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.16 / $721.67 / $1,389.57	Professional		$511.16	$721.67	$1,389.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,815.70	Facility		$55.00	$55.00	$5,815.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,741.42 / $5,999.78 / $5,999.78	Professional		$5,741.42	$5,999.78	$5,999.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $437.48 / $649.85 / $1,570.94	Facility		$437.48	$649.85	$1,570.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $589.12 / $679.76 / $793.05	Professional		$589.12	$679.76	$793.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $781.40 / $781.40 / $781.40	Professional		$781.40	$781.40	$781.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $437.48 / $675.05 / $1,570.94	Facility		$437.48	$675.05	$1,570.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $511.16 / $754.40 / $1,364.15	Professional		$511.16	$754.40	$1,364.15
United Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $2,547.00 / $9,000.00	Facility		$495.00	$2,547.00	$9,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $429.78 / $607.77 / $904.85	Professional		$429.78	$607.77	$904.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $386.77 / $449.57 / $608.62	Professional		$386.77	$449.57	$608.62