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 $216.20 / $232.80 / $280.77	Professional		$216.20	$232.80	$280.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $703.80 / $828.00 / $828.00	Professional		$703.80	$828.00	$828.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $525.73 / $5,062.89 / $5,062.89	Facility		$525.73	$5,062.89	$5,062.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,813.11 / $1,813.11 / $2,601.75	Professional		$1,813.11	$1,813.11	$2,601.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $231.49 / $297.20 / $525.79	Facility		$231.49	$297.20	$525.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $287.77 / $287.77 / $287.77	Professional		$287.77	$287.77	$287.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $332.80 / $332.80 / $332.80	Professional		$332.80	$332.80	$332.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $231.49 / $301.67 / $540.65	Facility		$231.49	$301.67	$540.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $287.77 / $419.30 / $2,400,000.00	Professional		$287.77	$419.30	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.00 / $327.00 / $671.00	Professional		$268.00	$327.00	$671.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $328.00 / $328.00 / $442.80	Professional		$328.00	$328.00	$442.80