Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.91 / $273.45 / $292.94	Facility		$77.91	$273.45	$292.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $77.91 / $77.91	Professional		$77.91	$77.91	$77.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $312.00	Facility		$100.00	$100.00	$312.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.91 / $111.41 / $221.14	Facility		$77.91	$111.41	$221.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.79 / $66.98 / $70.34	Professional		$44.79	$66.98	$70.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.91 / $111.41 / $221.14	Facility		$77.91	$111.41	$221.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $50.25 / $67.84	Professional		$50.25	$50.25	$67.84