Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,323.80 / $6,785.50 / $18,867.70	Facility		$2,323.80	$6,785.50	$18,867.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,168.88 / $2,556.17 / $3,137.13	Professional		$2,168.88	$2,556.17	$3,137.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,292.05 / $3,873.00 / $3,873.00	Professional		$3,292.05	$3,873.00	$3,873.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,495.90 / $9,089.76 / $20,530.61	Facility		$2,495.90	$9,089.76	$20,530.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,717.52 / $4,717.52 / $5,652.12	Professional		$4,717.52	$4,717.52	$5,652.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,196.80 / $18,396.75 / $18,396.75	Facility		$6,196.80	$18,396.75	$18,396.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,287.54 / $19,287.54 / $29,047.50	Professional		$19,287.54	$19,287.54	$29,047.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,323.80 / $3,873.00 / $5,770.77	Facility		$2,323.80	$3,873.00	$5,770.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $3,873.00 / $4,841.25	Professional		$3,873.00	$3,873.00	$4,841.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,485.70 / $4,841.25 / $8,714.25	Professional		$3,485.70	$4,841.25	$8,714.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,323.80 / $3,873.00 / $11,699.87	Facility		$2,323.80	$3,873.00	$11,699.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,659.84 / $4,260.30 / $6,777.75	Professional		$3,659.84	$4,260.30	$6,777.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $1,626.66 / $2,385.77	Professional		$1,626.66	$1,626.66	$2,385.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,148.40 / $1,148.40 / $3,873.00	Professional		$1,148.40	$1,148.40	$3,873.00