Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,511.89 / $7,943.28	Facility		$1,148.15	$2,511.89	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,949.84	Professional		$1,047.13	$1,318.26	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $4,073.80	Facility		$1,148.15	$1,318.26	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,570.40	Professional		$2,137.96	$2,137.96	$2,570.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Facility		$8,317.64	$8,317.64	$8,317.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $13,182.57 / $13,182.57	Professional		$8,709.64	$13,182.57	$13,182.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $3,311.31	Facility		$1,258.93	$1,778.28	$3,311.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,089.30	Professional		$1,047.13	$1,412.54	$2,089.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,905.46 / $3,715.35	Professional		$1,737.80	$1,905.46	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $3,162.28	Facility		$1,047.13	$1,659.59	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,862.09 / $3,311.31	Professional		$79.43	$1,862.09	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $741.31 / $1,737.80	Facility		$630.96	$741.31	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,202.26	Professional		$741.31	$741.31	$1,202.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,737.80 / $1,737.80	Professional		$524.81	$1,737.80	$1,737.80