Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.35 / $113.35 / $125.67	Facility		$113.35	$113.35	$125.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.45 / $115.15 / $139.69	Professional		$86.45	$115.15	$139.69
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 $278.33 / $3,728.65 / $3,728.65	Facility		$278.33	$3,728.65	$3,728.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $902.23 / $902.23 / $1,377.15	Professional		$902.23	$902.23	$1,377.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.89 / $134.44 / $279.01	Facility		$90.89	$134.44	$279.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $152.35 / $152.35 / $152.35	Professional		$152.35	$152.35	$152.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $172.00 / $172.00	Professional		$172.00	$172.00	$172.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.89 / $134.81 / $279.01	Facility		$90.89	$134.81	$279.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $152.35 / $2,250,000.00	Professional		$123.03	$152.35	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $160.00 / $200.00	Professional		$100.00	$160.00	$200.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $82.00 / $110.70	Professional		$82.00	$82.00	$110.70