Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.52 / $239.52 / $259.48	Facility		$239.52	$239.52	$259.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.60 / $229.54 / $303.39	Professional		$199.60	$229.54	$303.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,572.00 / $8,585.00 / $16,416.33	Facility		$5,572.00	$8,585.00	$16,416.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.01 / $233.01 / $233.01	Professional		$233.01	$233.01	$233.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.60 / $203.59 / $423.15	Facility		$199.60	$203.59	$423.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $396.70 / $396.70 / $396.70	Professional		$396.70	$396.70	$396.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $215.57 / $215.57 / $215.57	Facility		$215.57	$215.57	$215.57
United Facility/Professional Professional Modifier Low / Median / High Price $215.84 / $215.84 / $215.84	Professional		$215.84	$215.84	$215.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $168.58 / $168.58 / $227.58	Professional		$168.58	$168.58	$227.58