Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $93.33 / $102.33	Facility		$91.20	$93.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $138.04	Professional		$91.20	$107.15	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
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 $741.31 / $1,047.13 / $1,047.13	Professional		$741.31	$1,047.13	$1,047.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $131.83 / $218.78	Facility		$97.72	$131.83	$218.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $138.04	Professional		$87.10	$107.15	$138.04
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 $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $128.82 / $208.93	Facility		$97.72	$128.82	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $120.23 / $190.55	Professional		$60.26	$120.23	$190.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $194.98	Professional		$151.36	$151.36	$194.98