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 $529.76 / $745.33 / $1,073.55	Professional		$529.76	$745.33	$1,073.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $675.20 / $675.20 / $675.20	Professional		$675.20	$675.20	$675.20
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 $523.58 / $523.58 / $523.58	Professional		$523.58	$523.58	$523.58
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 $640.17 / $839.64 / $1,055.50	Professional		$640.17	$839.64	$1,055.50
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 $5,096.16 / $5,253.52 / $6,105.83	Professional		$5,096.16	$5,253.52	$6,105.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $598.32 / $769.83 / $1,232.06	Facility		$598.32	$769.83	$1,232.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $598.32 / $598.32 / $675.20	Professional		$598.32	$598.32	$675.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $916.14 / $1,020.44 / $1,404.74	Professional		$916.14	$1,020.44	$1,404.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $628.12 / $786.36 / $1,387.69	Facility		$628.12	$786.36	$1,387.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $674.91 / $854.25 / $1,049.92	Professional		$674.91	$854.25	$1,049.92
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 $513.47 / $718.86 / $1,053.26	Professional		$513.47	$718.86	$1,053.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $598.32 / $686.74 / $833.19	Professional		$598.32	$686.74	$833.19