Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,369.72 / $1,369.72 / $2,890.24	Professional		$1,369.72	$1,369.72	$2,890.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,513.25 / $2,513.25 / $2,513.25	Professional		$2,513.25	$2,513.25	$2,513.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,061.40 / $3,061.40 / $3,667.90	Professional		$3,061.40	$3,061.40	$3,667.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,920.00 / $11,937.94 / $11,937.94	Facility		$7,920.00	$11,937.94	$11,937.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,515.99 / $13,612.50 / $18,849.38	Professional		$12,515.99	$13,612.50	$18,849.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,859.81 / $2,513.25 / $4,280.17	Facility		$1,859.81	$2,513.25	$4,280.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,387.59 / $2,563.52 / $3,769.88	Professional		$2,387.59	$2,563.52	$3,769.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,261.92 / $3,392.89 / $6,831.00	Professional		$2,261.92	$3,392.89	$6,831.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,935.20 / $2,764.58 / $4,398.18	Professional		$1,935.20	$2,764.58	$4,398.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,055.57 / $1,055.57 / $1,608.48	Professional		$1,055.57	$1,055.57	$1,608.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $198.46 / $1,301.85 / $2,513.25	Professional		$198.46	$1,301.85	$2,513.25