Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,682.00 / $10,893.00	Facility		$732.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.53 / $184.34 / $206.73	Professional		$167.53	$184.34	$206.73
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 $560.15 / $659.00 / $659.00	Professional		$560.15	$659.00	$659.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $379.16 / $5,062.89 / $5,062.89	Facility		$379.16	$5,062.89	$5,062.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,334.79 / $1,334.79 / $1,876.80	Professional		$1,334.79	$1,334.79	$1,876.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.49 / $233.91 / $391.67	Facility		$181.49	$233.91	$391.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.51 / $207.51 / $207.51	Professional		$207.51	$207.51	$207.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $265.60 / $265.60 / $265.60	Professional		$265.60	$265.60	$265.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.49 / $235.86 / $398.05	Facility		$181.49	$235.86	$398.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $207.51 / $264.58 / $2,400,000.00	Professional		$207.51	$264.58	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $450.00 / $568.00	Professional		$450.00	$450.00	$568.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.66 / $278.00 / $300.74	Professional		$213.66	$278.00	$300.74