Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.08 / $3,596.00 / $12,040.00	Facility		$275.08	$3,596.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.47 / $139.41 / $250.00	Professional		$113.47	$139.41	$250.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.24 / $113.24 / $113.24	Professional		$113.24	$113.24	$113.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $5,646.00 / $8,585.00	Facility		$1,845.00	$5,646.00	$8,585.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.18 / $93.18 / $93.18	Professional		$93.18	$93.18	$93.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.14 / $150.81 / $193.37	Professional		$118.14	$150.81	$193.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $908.00	Facility		$55.00	$55.00	$908.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $935.00 / $935.00 / $1,077.45	Professional		$935.00	$935.00	$1,077.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.68 / $140.18 / $236.65	Facility		$108.68	$140.18	$236.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.70 / $104.70 / $116.82	Professional		$104.70	$104.70	$116.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $252.26 / $271.36 / $353.28	Professional		$252.26	$271.36	$353.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.44 / $140.97 / $238.41	Facility		$113.44	$140.97	$238.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.12 / $154.94 / $193.37	Professional		$119.12	$154.94	$193.37
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $114.04 / $175.78	Professional		$78.06	$114.04	$175.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $116.82 / $156.16 / $163.36	Professional		$116.82	$156.16	$163.36