Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $0.50 / $224.00	Facility		$0.50	$0.50	$224.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.44 / $727.44 / $1,832.07	Professional		$727.44	$727.44	$1,832.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,346.50 / $3,603.14 / $6,221.33	Facility		$1,346.50	$3,603.14	$6,221.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.38 / $3,621.22 / $5,461.72	Facility		$1,288.38	$3,621.22	$5,461.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $669.28 / $745.04 / $1,152.43	Professional		$669.28	$745.04	$1,152.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,226.55 / $5,100.31 / $5,100.31	Facility		$4,226.55	$5,100.31	$5,100.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,792.85 / $8,640.00 / $8,640.00	Professional		$4,792.85	$8,640.00	$8,640.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $618.32 / $948.61 / $1,720.64	Facility		$618.32	$948.61	$1,720.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $853.34 / $853.34 / $853.34	Professional		$853.34	$853.34	$853.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $986.20 / $1,209.61 / $1,360.96	Professional		$986.20	$1,209.61	$1,360.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $746.35 / $1,299.91 / $4,996.25	Facility		$746.35	$1,299.91	$4,996.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $669.28 / $746.06 / $1,152.43	Professional		$669.28	$746.06	$1,152.43
United Facility/Professional Facility Modifier Low / Median / High Price $830.00 / $2,551.02 / $2,551.02	Facility		$830.00	$2,551.02	$2,551.02
United Facility/Professional Professional Modifier Low / Median / High Price $714.10 / $1,103.28 / $1,441.94	Professional		$714.10	$1,103.28	$1,441.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $811.71 / $815.08 / $1,226.92	Professional		$811.71	$815.08	$1,226.92