Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.06 / $1,203.08 / $6,829.01	Facility		$113.06	$1,203.08	$6,829.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.33 / $221.16 / $988.51	Professional		$130.33	$221.16	$988.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,264.96 / $11,352.59 / $19,625.73	Facility		$4,264.96	$11,352.59	$19,625.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.79 / $150.86 / $210.74	Professional		$93.79	$150.86	$210.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.68 / $431.33 / $795.70	Professional		$257.68	$431.33	$795.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $911.12 / $1,240.47 / $1,341.32	Facility		$911.12	$1,240.47	$1,341.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,492.00 / $3,492.00 / $3,492.00	Professional		$3,492.00	$3,492.00	$3,492.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.47 / $249.16 / $721.35	Facility		$132.47	$249.16	$721.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $148.43 / $268.66 / $283.44	Professional		$148.43	$268.66	$283.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $359.30 / $421.40 / $940.80	Professional		$359.30	$421.40	$940.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.44 / $345.91 / $772.27	Facility		$152.44	$345.91	$772.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.83 / $357.75 / $470.82	Professional		$194.83	$357.75	$470.82
United Facility/Professional Facility Modifier Low / Median / High Price $4,770.37 / $7,298.67 / $10,958.06	Facility		$4,770.37	$7,298.67	$10,958.06
United Facility/Professional Professional Modifier Low / Median / High Price $139.74 / $192.21 / $409.12	Professional		$139.74	$192.21	$409.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.68 / $148.43 / $209.51	Professional		$131.68	$148.43	$209.51