Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,469.14 / $4,289.89 / $11,928.40	Facility		$1,469.14	$4,289.89	$11,928.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,371.19 / $1,616.05 / $1,983.33	Professional		$1,371.19	$1,616.05	$1,983.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.73 / $74.13 / $135.69	Facility		$28.73	$74.13	$135.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,577.93 / $5,746.65 / $12,980.48	Facility		$1,577.93	$5,746.65	$12,980.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,982.60 / $2,982.60 / $3,573.49	Professional		$2,982.60	$2,982.60	$3,573.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,917.70 / $11,630.66 / $11,630.66	Facility		$3,917.70	$11,630.66	$11,630.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,193.83 / $12,193.83 / $18,364.20	Professional		$12,193.83	$12,193.83	$18,364.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,469.14 / $2,448.56 / $3,648.35	Facility		$1,469.14	$2,448.56	$3,648.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $2,448.56 / $3,060.70	Professional		$2,448.56	$2,448.56	$3,060.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,203.69 / $3,060.70 / $5,509.26	Professional		$2,203.69	$3,060.70	$5,509.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,469.14 / $2,448.56 / $7,397.31	Facility		$1,469.14	$2,448.56	$7,397.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,313.96 / $2,693.42 / $4,284.97	Professional		$2,313.96	$2,693.42	$4,284.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.40 / $1,028.40 / $1,469.14	Professional		$1,028.40	$1,028.40	$1,469.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $2,448.56	Professional		$9.07	$9.07	$2,448.56