Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,043.60 / $11,807.30 / $32,831.30	Facility		$4,043.60	$11,807.30	$32,831.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,774.02 / $4,245.78 / $5,391.46	Professional		$3,774.02	$4,245.78	$5,391.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,343.06 / $15,816.89 / $35,726.01	Facility		$4,343.06	$15,816.89	$35,726.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,208.81 / $8,208.81 / $9,835.09	Professional		$8,208.81	$8,208.81	$9,835.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,782.93 / $32,011.82 / $32,011.82	Facility		$10,782.93	$32,011.82	$32,011.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $33,561.86 / $33,561.86 / $50,544.98	Professional		$33,561.86	$33,561.86	$50,544.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,043.60 / $6,739.33 / $10,041.60	Facility		$4,043.60	$6,739.33	$10,041.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6,739.33 / $6,739.33 / $8,424.16	Professional		$6,739.33	$6,739.33	$8,424.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6,065.40 / $8,424.16 / $15,163.49	Professional		$6,065.40	$8,424.16	$15,163.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,043.60 / $6,739.33 / $20,359.71	Facility		$4,043.60	$6,739.33	$20,359.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,368.73 / $7,413.26 / $11,793.83	Professional		$6,368.73	$7,413.26	$11,793.83
United Facility/Professional Professional Modifier Low / Median / High Price $2,830.52 / $2,830.52 / $4,633.29	Professional		$2,830.52	$2,830.52	$4,633.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.88 / $984.72 / $6,739.33	Professional		$426.88	$984.72	$6,739.33