Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,766.00 / $13,004.00	Facility		$969.00	$3,766.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.52 / $866.63 / $1,292.58	Professional		$648.52	$866.63	$1,292.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,589.23 / $6,032.96 / $11,951.37	Facility		$3,589.23	$6,032.96	$11,951.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.42 / $650.42 / $650.42	Professional		$650.42	$650.42	$650.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,578.19 / $2,578.19 / $2,662.46	Facility		$2,578.19	$2,578.19	$2,662.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $754.78 / $1,043.23 / $1,309.63	Professional		$754.78	$1,043.23	$1,309.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,879.05	Facility		$55.00	$55.00	$11,879.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,328.64 / $6,519.60 / $7,582.80	Professional		$6,328.64	$6,519.60	$7,582.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $721.31 / $908.53 / $1,482.84	Facility		$721.31	$908.53	$1,482.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $721.31 / $721.31 / $838.53	Professional		$721.31	$721.31	$838.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $973.87 / $1,084.73 / $1,493.27	Professional		$973.87	$1,084.73	$1,493.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $760.43 / $950.54 / $1,613.27	Facility		$760.43	$950.54	$1,613.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $838.53 / $1,061.38 / $1,303.56	Professional		$838.53	$1,061.38	$1,303.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,931.00 / $13,134.00	Facility		$2,093.00	$5,931.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $638.74 / $866.40 / $1,277.47	Professional		$638.74	$866.40	$1,277.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $721.31 / $909.55 / $1,000.84	Professional		$721.31	$909.55	$1,000.84