Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.82 / $92.82 / $102.88	Facility		$92.82	$92.82	$102.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.08 / $102.34 / $114.39	Professional		$88.08	$102.34	$114.39
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
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $211.34 / $5,062.89 / $5,062.89	Facility		$211.34	$5,062.89	$5,062.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $738.66 / $738.66 / $1,046.40	Professional		$738.66	$738.66	$1,046.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.24 / $125.33 / $211.61	Facility		$97.24	$125.33	$211.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.67 / $115.67 / $115.67	Professional		$115.67	$115.67	$115.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.10 / $143.10 / $143.10	Professional		$143.10	$143.10	$143.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.18 / $127.58 / $220.27	Facility		$98.18	$127.58	$220.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.67 / $142.97 / $189.80	Professional		$115.67	$142.97	$189.80
United Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $344.00	Professional		$250.00	$250.00	$344.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $151.00 / $203.85	Professional		$151.00	$151.00	$203.85