Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.29 / $871.33 / $3,196.30	Facility		$624.29	$871.33	$3,196.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.08 / $871.33 / $903.21	Professional		$850.08	$871.33	$903.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.54 / $1,041.60 / $2,078.28	Facility		$411.54	$1,041.60	$2,078.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $892.58 / $892.58 / $892.58	Professional		$892.58	$892.58	$892.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Facility		$903.21	$903.21	$903.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Professional		$903.21	$903.21	$903.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,009.47 / $3,576.45 / $3,795.00	Facility		$1,009.47	$3,576.45	$3,795.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,845.60 / $4,037.88 / $4,554.00	Professional		$3,845.60	$4,037.88	$4,554.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $233.68 / $1,062.59 / $1,443.54	Facility		$233.68	$1,062.59	$1,443.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $167.51 / $167.51	Professional		$167.51	$167.51	$167.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $883.62 / $1,320.90 / $1,386.94	Professional		$883.62	$1,320.90	$1,386.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $246.60 / $903.21 / $1,360.13	Facility		$246.60	$903.21	$1,360.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Professional		$903.21	$903.21	$903.21
United Facility/Professional Professional Modifier Low / Median / High Price $885.50 / $885.50 / $897.01	Professional		$885.50	$885.50	$897.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $320.39 / $432.53 / $885.50	Professional		$320.39	$432.53	$885.50