Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.56 / $101.43 / $101.44	Facility		$91.56	$101.43	$101.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.96 / $101.40 / $112.84	Professional		$86.96	$101.40	$112.84
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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.60 / $356.00 / $356.00	Professional		$302.60	$356.00	$356.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $211.34 / $3,728.65 / $3,728.65	Facility		$211.34	$3,728.65	$3,728.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $728.46 / $728.46 / $1,046.40	Professional		$728.46	$728.46	$1,046.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.13 / $122.61 / $217.68	Facility		$93.13	$122.61	$217.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.67 / $115.67 / $115.67	Professional		$115.67	$115.67	$115.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.90 / $97.90 / $97.90	Professional		$97.90	$97.90	$97.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.94 / $124.69 / $217.68	Facility		$93.94	$124.69	$217.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.67 / $135.85 / $2,400,000.00	Professional		$115.67	$135.85	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $303.00	Professional		$250.00	$250.00	$303.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $170.76 / $233.63	Professional		$146.00	$170.76	$233.63