Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,506.13 / $4,397.89 / $12,228.70	Facility		$1,506.13	$4,397.89	$12,228.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,405.72 / $1,656.74 / $2,133.67	Professional		$1,405.72	$1,656.74	$2,133.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,631.64 / $5,710.74 / $11,184.95	Facility		$1,631.64	$5,710.74	$11,184.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,776.14 / $2,776.14 / $3,326.13	Professional		$2,776.14	$2,776.14	$3,326.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,016.34 / $11,923.50 / $11,923.50	Facility		$4,016.34	$11,923.50	$11,923.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,500.85 / $12,500.85 / $18,826.58	Professional		$12,500.85	$12,500.85	$18,826.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,506.13 / $2,510.21 / $3,704.81	Facility		$1,506.13	$2,510.21	$3,704.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,510.21 / $2,510.21 / $3,137.76	Professional		$2,510.21	$2,510.21	$3,137.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,631.64 / $3,137.76 / $8,785.74	Professional		$1,631.64	$3,137.76	$8,785.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,631.64 / $2,512.71 / $7,582.98	Facility		$1,631.64	$2,512.71	$7,582.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,259.19 / $3,012.25 / $4,392.87	Professional		$2,259.19	$3,012.25	$4,392.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,054.29 / $1,606.53	Professional		$1,054.29	$1,054.29	$1,606.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $304.00 / $2,510.21	Professional		$304.00	$304.00	$2,510.21