Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $257.04 / $371.54	Professional		$213.80	$257.04	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility		$5,011.87	$5,011.87	$5,011.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,630.27 / $2,630.27	Professional		$1,819.70	$2,630.27	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $398.11 / $4,466.84	Facility		$245.47	$398.11	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $562.34	Professional		$213.80	$263.03	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $50.12	Professional		$30.20	$30.20	$50.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $302.00 / $501.19	Facility		$234.42	$302.00	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $295.12 / $467.74	Professional		$60.26	$295.12	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $309.03 / $354.81	Professional		$269.15	$309.03	$354.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $426.58	Professional		$331.13	$331.13	$426.58