Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $3,682.00 / $10,893.00	Facility		$657.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.82 / $155.49 / $174.40	Professional		$139.82	$155.49	$174.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,456.92 / $5,456.92	Facility		$5,456.92	$5,456.92	$5,456.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.85 / $561.00 / $561.00	Professional		$476.85	$561.00	$561.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $316.14 / $5,062.89 / $5,062.89	Facility		$316.14	$5,062.89	$5,062.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.36 / $1,116.36 / $1,564.80	Professional		$1,116.36	$1,116.36	$1,564.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $153.10 / $196.41 / $333.52	Facility		$153.10	$196.41	$333.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.04 / $173.04 / $173.04	Professional		$173.04	$173.04	$173.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $195.90 / $195.90 / $195.90	Professional		$195.90	$195.90	$195.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.84 / $200.59 / $333.52	Facility		$153.84	$200.59	$333.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.04 / $226.10 / $2,250,000.00	Professional		$173.04	$226.10	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $375.00 / $455.00	Professional		$375.00	$375.00	$455.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $227.00 / $306.45	Professional		$227.00	$227.00	$306.45