Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.00 / $628.00 / $628.00	Professional		$628.00	$628.00	$628.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.81 / $55.81 / $55.81	Professional		$55.81	$55.81	$55.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $628.00 / $628.00 / $640.55	Facility		$628.00	$628.00	$640.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $255.88 / $301.05 / $416.51	Professional		$255.88	$301.05	$416.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.59 / $628.00 / $1,004.80	Facility		$2.59	$628.00	$1,004.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,250,000.00	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $111.20	Professional		$79.43	$79.43	$111.20