Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,682.00 / $10,893.00	Facility		$732.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.16 / $269.51 / $427.56	Professional		$227.16	$269.51	$427.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,957.55 / $2,303.00 / $2,303.00	Professional		$1,957.55	$2,303.00	$2,303.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $900.90 / $3,728.65 / $3,728.65	Facility		$900.90	$3,728.65	$3,728.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,306.19 / $2,713.22 / $2,787.56	Professional		$2,306.19	$2,713.22	$2,787.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $259.41 / $524.52 / $883.27	Facility		$259.41	$524.52	$883.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.19 / $239.19 / $239.19	Professional		$239.19	$239.19	$239.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $237.40 / $237.40 / $237.40	Professional		$237.40	$237.40	$237.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $259.41 / $548.12 / $883.27	Facility		$259.41	$548.12	$883.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.19 / $665.00 / $2,400,000.00	Professional		$239.19	$665.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $214.00 / $350.00 / $871.00	Professional		$214.00	$350.00	$871.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $544.00 / $544.00 / $734.40	Professional		$544.00	$544.00	$734.40