Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $9,772.37 / $30,902.95	Facility		$4,073.80	$9,772.37	$30,902.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,128.61 / $7,413.10	Professional		$4,073.80	$5,128.61	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,128.61 / $30,199.52	Facility		$4,365.16	$5,128.61	$30,199.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $9,772.37	Professional		$8,128.31	$8,128.31	$9,772.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $32,359.37 / $32,359.37 / $32,359.37	Facility		$32,359.37	$32,359.37	$32,359.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $33,884.42 / $50,118.72 / $50,118.72	Professional		$33,884.42	$50,118.72	$50,118.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $6,760.83 / $12,589.25	Facility		$4,897.79	$6,760.83	$12,589.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,370.32 / $8,511.38	Professional		$4,073.80	$5,370.32	$8,511.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $7,244.36 / $14,454.40	Professional		$6,760.83	$7,244.36	$14,454.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $6,760.83 / $18,620.87	Facility		$4,073.80	$6,760.83	$18,620.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $7,079.46 / $12,589.25	Professional		$79.43	$7,079.46	$12,589.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,818.38 / $6,760.83	Facility		$2,398.83	$2,818.38	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $4,677.35	Professional		$2,818.38	$2,818.38	$4,677.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $6,760.83 / $6,760.83	Professional		$977.24	$6,760.83	$6,760.83