Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $725.00 / $725.00 / $785.42	Facility		$725.00	$725.00	$785.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.71 / $670.63 / $918.34	Professional		$537.71	$670.63	$918.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,110.44 / $9,545.62 / $19,343.00	Facility		$6,110.44	$9,545.62	$19,343.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.06 / $233.01 / $233.01	Professional		$198.06	$233.01	$233.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $604.16 / $604.16 / $1,280.83	Facility		$604.16	$604.16	$1,280.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $368.10 / $368.10 / $368.10	Professional		$368.10	$368.10	$368.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $652.50 / $652.50 / $652.50	Facility		$652.50	$652.50	$652.50
United Facility/Professional Professional Modifier Low / Median / High Price $276.74 / $276.74 / $276.74	Professional		$276.74	$276.74	$276.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $172.38 / $172.38 / $232.71	Professional		$172.38	$172.38	$232.71