Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,630.78 / $11,481.54	Facility		$1,513.56	$3,630.78	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $2,754.23	Professional		$1,513.56	$1,905.46	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $11,220.18	Facility		$1,621.81	$2,454.71	$11,220.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,311.31	Professional		$2,754.23	$2,754.23	$3,311.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $12,022.64	Facility		$12,022.64	$12,022.64	$12,022.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $18,620.87 / $18,620.87	Professional		$12,589.25	$18,620.87	$18,620.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $4,677.35	Facility		$1,905.46	$2,511.89	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $3,019.95	Professional		$1,513.56	$1,995.26	$3,019.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,951.21 / $9,120.11	Professional		$2,454.71	$2,951.21	$9,120.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $6,918.31	Facility		$1,737.80	$2,511.89	$6,918.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,630.27 / $4,365.16	Professional		$79.43	$2,630.27	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,047.13 / $2,511.89	Facility		$912.01	$1,047.13	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,737.80	Professional		$1,047.13	$1,047.13	$1,737.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $2,511.89 / $2,511.89	Professional		$295.12	$2,511.89	$2,511.89