Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,238.72	Professional		$1,412.54	$1,659.59	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,630.78	Professional		$3,090.30	$3,090.30	$3,630.78
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 / $19,054.61 / $19,054.61	Professional		$12,589.25	$19,054.61	$19,054.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $4,365.16	Facility		$1,819.70	$2,570.40	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $2,570.40	Professional		$1,412.54	$1,698.24	$2,570.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,691.53 / $5,370.32	Professional		$2,511.89	$2,691.53	$5,370.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,511.89 / $4,677.35	Facility		$1,778.28	$2,511.89	$4,677.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,630.27 / $4,365.16	Professional		$1,318.26	$2,630.27	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,778.28	Professional		$1,047.13	$1,047.13	$1,778.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $2,511.89	Professional		$199.53	$199.53	$2,511.89