Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,033.86 / $1,176.14 / $1,517.60	Professional		$1,033.86	$1,176.14	$1,517.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,435.00 / $5,435.00 / $5,435.00	Professional		$5,435.00	$5,435.00	$5,435.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,620.11 / $6,620.11 / $7,931.64	Professional		$6,620.11	$6,620.11	$7,931.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,696.00 / $25,816.25 / $25,816.25	Facility		$8,696.00	$25,816.25	$25,816.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $27,066.30 / $27,066.30 / $40,762.50	Professional		$27,066.30	$27,066.30	$40,762.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,138.20 / $5,435.00 / $7,337.25	Facility		$1,138.20	$5,435.00	$7,337.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,163.25 / $5,543.70 / $8,152.50	Professional		$5,163.25	$5,543.70	$8,152.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,891.50 / $6,793.75 / $11,359.15	Professional		$4,891.50	$6,793.75	$11,359.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,460.69 / $2,086.69 / $6,522.00	Professional		$1,460.69	$2,086.69	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $796.74 / $796.74 / $1,354.46	Professional		$796.74	$796.74	$1,354.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,510.47 / $2,815.33 / $5,435.00	Professional		$1,510.47	$2,815.33	$5,435.00