Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,729.00	Facility		$921.00	$3,682.00	$12,729.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.29 / $829.40 / $1,286.08	Professional		$625.29	$829.40	$1,286.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,799.46 / $3,214.76 / $6,627.76	Facility		$1,799.46	$3,214.76	$6,627.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.79 / $557.79 / $557.79	Professional		$557.79	$557.79	$557.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,494.86 / $1,494.86 / $1,543.72	Facility		$1,494.86	$1,494.86	$1,543.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $714.47 / $938.51 / $1,375.84	Professional		$714.47	$938.51	$1,375.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,887.55 / $26,542.00 / $26,542.00	Facility		$6,887.55	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,485.00 / $5,602.08 / $6,513.60	Professional		$5,485.00	$5,602.08	$6,513.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $641.02 / $829.40 / $1,515.26	Facility		$641.02	$829.40	$1,515.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $621.19 / $720.34 / $5,830.00	Professional		$621.19	$720.34	$5,830.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $800.25 / $885.75 / $1,162.47	Professional		$800.25	$885.75	$1,162.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $652.57 / $882.18 / $1,950.00	Facility		$652.57	$882.18	$1,950.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $720.34 / $974.35 / $1,419.86	Professional		$720.34	$974.35	$1,419.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,264.00 / $7,600.00	Facility		$1,120.00	$3,264.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.46 / $760.23 / $1,124.07	Professional		$573.46	$760.23	$1,124.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $621.19 / $821.11 / $867.69	Professional		$621.19	$821.11	$867.69