Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,920.00 / $5,606.40 / $15,589.10	Facility		$1,920.00	$5,606.40	$15,589.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,792.00 / $2,016.00 / $2,560.00	Professional		$1,792.00	$2,016.00	$2,560.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,062.19 / $7,510.26 / $16,963.03	Facility		$2,062.19	$7,510.26	$16,963.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,897.99 / $3,897.99 / $4,670.24	Professional		$3,897.99	$3,897.99	$4,670.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,120.00 / $15,200.00 / $15,200.00	Facility		$5,120.00	$15,200.00	$15,200.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,936.00 / $15,936.00 / $24,000.00	Professional		$15,936.00	$15,936.00	$24,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,920.00 / $3,200.00 / $4,768.00	Facility		$1,920.00	$3,200.00	$4,768.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $4,000.00	Professional		$3,200.00	$3,200.00	$4,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,880.00 / $4,000.00 / $7,200.00	Professional		$2,880.00	$4,000.00	$7,200.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,920.00 / $3,200.00 / $9,667.32	Facility		$1,920.00	$3,200.00	$9,667.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,024.04 / $3,520.00 / $5,600.00	Professional		$3,024.04	$3,520.00	$5,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,344.00 / $1,344.00 / $1,920.00	Professional		$1,344.00	$1,344.00	$1,920.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $7.49 / $3,200.00	Professional		$7.49	$7.49	$3,200.00