Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $5,248.07 / $16,595.87	Facility		$2,187.76	$5,248.07	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,818.38 / $3,890.45	Professional		$2,041.74	$2,818.38	$3,890.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,548.13 / $16,218.10	Facility		$2,398.83	$3,548.13	$16,218.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $5,370.32	Professional		$4,466.84	$4,466.84	$5,370.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $17,378.01 / $17,378.01	Facility		$17,378.01	$17,378.01	$17,378.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,197.01 / $27,542.29 / $27,542.29	Professional		$18,197.01	$27,542.29	$27,542.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,715.35 / $6,918.31	Facility		$2,754.23	$3,715.35	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,467.37 / $4,570.88	Professional		$2,290.87	$3,467.37	$4,570.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,981.07 / $7,762.47	Professional		$3,715.35	$3,981.07	$7,762.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,715.35 / $10,232.93	Facility		$2,570.40	$3,715.35	$10,232.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,890.45 / $6,456.54	Professional		$79.43	$3,890.45	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $3,715.35	Facility		$1,318.26	$1,548.82	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,511.89	Professional		$1,548.82	$1,548.82	$2,511.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $3,715.35 / $3,715.35	Professional		$1,479.11	$3,715.35	$3,715.35