Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.40 / $2,591.78 / $2,776.38	Facility		$738.40	$2,591.78	$2,776.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.40 / $756.86 / $817.41	Professional		$738.40	$756.86	$817.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.75 / $1.90 / $3.79	Facility		$0.75	$1.90	$3.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $775.32 / $775.32 / $775.32	Professional		$775.32	$775.32	$775.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Facility		$784.55	$784.55	$784.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Professional		$784.55	$784.55	$784.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $876.85 / $2,837.28 / $3,300.00	Facility		$876.85	$2,837.28	$3,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,344.00 / $3,507.40 / $4,153.50	Professional		$3,344.00	$3,507.40	$4,153.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $756.86 / $923.00 / $1,647.09	Facility		$756.86	$923.00	$1,647.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $724.15 / $1,082.47 / $1,136.58	Professional		$724.15	$1,082.47	$1,136.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $784.55 / $923.00 / $1,253.90	Facility		$784.55	$923.00	$1,253.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Professional		$784.55	$784.55	$784.55
United Facility/Professional Professional Modifier Low / Median / High Price $769.17 / $769.17 / $785.32	Professional		$769.17	$769.17	$785.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $769.17 / $876.85 / $1,183.75	Professional		$769.17	$876.85	$1,183.75