Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.46 / $239.46 / $265.39	Facility		$239.46	$239.46	$265.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.24 / $246.98 / $295.12	Professional		$227.24	$246.98	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $979.20 / $1,152.00 / $1,152.00	Professional		$979.20	$1,152.00	$1,152.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $552.69 / $1,720.72 / $1,720.72	Facility		$552.69	$1,720.72	$1,720.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.62 / $1,905.62 / $2,735.55	Professional		$1,905.62	$1,905.62	$2,735.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $247.74 / $327.75 / $552.70	Facility		$247.74	$327.75	$552.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.50 / $302.50 / $302.50	Professional		$302.50	$302.50	$302.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $317.60 / $317.60 / $317.60	Professional		$317.60	$317.60	$317.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $248.05 / $334.68 / $568.26	Facility		$248.05	$334.68	$568.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.50 / $350.08 / $489.59	Professional		$302.50	$350.08	$489.59
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 $441.00 / $441.00 / $595.35	Professional		$441.00	$441.00	$595.35