Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,570.88 / $14,454.40	Facility		$1,905.46	$4,570.88	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $3,548.13	Professional		$1,905.46	$2,454.71	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $14,125.38	Facility		$2,089.30	$2,454.71	$14,125.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $4,677.35	Professional		$3,890.45	$3,890.45	$4,677.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Facility		$15,135.61	$15,135.61	$15,135.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,848.93 / $23,988.33 / $23,988.33	Professional		$15,848.93	$23,988.33	$23,988.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,235.94 / $6,025.60	Facility		$2,290.87	$3,235.94	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $3,890.45	Professional		$1,905.46	$2,570.40	$3,890.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,467.37 / $6,760.83	Professional		$3,235.94	$3,467.37	$6,760.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,235.94 / $8,912.51	Facility		$1,905.46	$3,235.94	$8,912.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,388.44 / $6,025.60	Professional		$79.43	$3,388.44	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $3,235.94	Facility		$1,148.15	$1,348.96	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,187.76	Professional		$1,348.96	$1,348.96	$2,187.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $3,235.94 / $3,235.94	Professional		$7.24	$3,235.94	$3,235.94