Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.92 / $334.92 / $371.20	Facility		$334.92	$334.92	$371.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.83 / $371.20 / $540.02	Professional		$317.83	$371.20	$540.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.08 / $345.98 / $345.98	Professional		$294.08	$345.98	$345.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,471.74 / $3,202.14 / $3,202.14	Facility		$1,471.74	$3,202.14	$3,202.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,202.14 / $3,763.97 / $3,867.10	Professional		$3,202.14	$3,763.97	$3,867.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.20 / $691.94 / $1,401.05	Facility		$371.20	$691.94	$1,401.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.08 / $346.08 / $346.08	Professional		$346.08	$346.08	$346.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,448.70 / $1,448.70 / $1,448.70	Professional		$1,448.70	$1,448.70	$1,448.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.20 / $716.19 / $1,401.05	Facility		$371.20	$716.19	$1,401.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.08 / $684.78 / $2,400,000.00	Professional		$346.08	$684.78	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Professional		$300.00	$300.00	$300.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $708.00 / $708.00 / $955.80	Professional		$708.00	$708.00	$955.80