Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.90 / $219.90 / $243.76	Facility		$219.90	$219.90	$243.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.73 / $223.38 / $271.02	Professional		$169.73	$223.38	$271.02
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 $537.21 / $1,672.15 / $1,672.15	Facility		$537.21	$1,672.15	$1,672.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,750.16 / $1,750.16 / $2,658.53	Professional		$1,750.16	$1,750.16	$2,658.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.79 / $257.06 / $522.88	Facility		$181.79	$257.06	$522.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $294.04 / $294.04 / $294.04	Professional		$294.04	$294.04	$294.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $246.00 / $246.00 / $246.00	Professional		$246.00	$246.00	$246.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.79 / $257.06 / $521.88	Facility		$181.79	$257.06	$521.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.10 / $294.04 / $449.69	Professional		$245.10	$294.04	$449.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,015.00 / $1,015.00 / $1,015.00	Professional		$1,015.00	$1,015.00	$1,015.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $260.00 / $351.00	Professional		$260.00	$260.00	$351.00