Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,778.30 / $6,548.85 / $18,044.30	Facility		$2,778.30	$6,548.85	$18,044.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,002.88 / $2,572.50 / $3,123.75	Professional		$2,002.88	$2,572.50	$3,123.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $3,675.00 / $3,675.00	Professional		$3,675.00	$3,675.00	$3,675.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,388.75 / $8,360.62 / $16,374.24	Facility		$2,388.75	$8,360.62	$16,374.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,476.30 / $4,476.30 / $5,363.11	Professional		$4,476.30	$4,476.30	$5,363.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,880.00 / $17,456.25 / $17,456.25	Facility		$5,880.00	$17,456.25	$17,456.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,301.50 / $18,301.50 / $27,562.50	Professional		$18,301.50	$18,301.50	$27,562.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,205.00 / $3,675.00 / $5,423.41	Facility		$2,205.00	$3,675.00	$5,423.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $3,675.00 / $4,593.75	Professional		$3,675.00	$3,675.00	$4,593.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,307.50 / $4,593.75 / $8,268.75	Professional		$3,307.50	$4,593.75	$8,268.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,388.75 / $3,678.68 / $11,101.83	Facility		$2,388.75	$3,678.68	$11,101.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,307.50 / $4,410.00 / $6,431.25	Professional		$3,307.50	$4,410.00	$6,431.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.50 / $1,543.50 / $2,611.19	Professional		$1,543.50	$1,543.50	$2,611.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $3,675.00	Professional		$1,500.00	$1,500.00	$3,675.00