Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,751.76 / $5,115.14 / $14,223.10	Facility		$1,751.76	$5,115.14	$14,223.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,634.98 / $1,926.94 / $2,364.88	Professional		$1,634.98	$1,926.94	$2,364.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,881.49 / $6,852.17 / $15,477.47	Facility		$1,881.49	$6,852.17	$15,477.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,556.09 / $3,556.09 / $4,260.59	Professional		$3,556.09	$3,556.09	$4,260.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,671.35 / $13,868.10 / $13,868.10	Facility		$4,671.35	$13,868.10	$13,868.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,539.61 / $14,539.61 / $21,897.00	Professional		$14,539.61	$14,539.61	$21,897.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,751.76 / $2,919.60 / $4,350.20	Facility		$1,751.76	$2,919.60	$4,350.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $2,919.60 / $3,649.50	Professional		$2,919.60	$2,919.60	$3,649.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,627.64 / $3,649.50 / $6,569.10	Professional		$2,627.64	$3,649.50	$6,569.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,751.76 / $2,919.60 / $8,820.10	Facility		$1,751.76	$2,919.60	$8,820.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,759.02 / $3,211.56 / $5,109.30	Professional		$2,759.02	$3,211.56	$5,109.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,226.23 / $1,868.54	Professional		$1,226.23	$1,226.23	$1,868.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $1,512.35 / $3,297.45	Professional		$208.00	$1,512.35	$3,297.45