Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.83 / $106.83 / $118.38	Facility		$106.83	$106.83	$118.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.82 / $118.02 / $131.66	Professional		$106.82	$118.02	$131.66
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 $358.70 / $422.00 / $422.00	Professional		$358.70	$422.00	$422.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $242.25 / $5,062.89 / $5,062.89	Facility		$242.25	$5,062.89	$5,062.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $850.03 / $850.03 / $1,198.95	Professional		$850.03	$850.03	$1,198.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.67 / $149.56 / $251.03	Facility		$116.67	$149.56	$251.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $132.60 / $132.60 / $132.60	Professional		$132.60	$132.60	$132.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.50 / $162.50 / $162.50	Professional		$162.50	$162.50	$162.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.67 / $151.66 / $253.51	Facility		$116.67	$151.66	$253.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.60 / $196.55 / $2,400,000.00	Professional		$132.60	$196.55	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $352.00	Professional		$300.00	$300.00	$352.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $152.18 / $177.00 / $226.33	Professional		$152.18	$177.00	$226.33