Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,691.53 / $8,511.38	Facility		$1,202.26	$2,691.53	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $2,089.30	Professional		$1,122.02	$1,412.54	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $4,265.80	Facility		$1,202.26	$1,412.54	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,691.53	Professional		$2,290.87	$2,290.87	$2,691.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Facility		$8,912.51	$8,912.51	$8,912.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $14,125.38 / $14,125.38	Professional		$9,332.54	$14,125.38	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $3,467.37	Facility		$1,412.54	$1,905.46	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,238.72	Professional		$1,122.02	$1,479.11	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,995.26 / $3,981.07	Professional		$1,862.09	$1,995.26	$3,981.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $3,388.44	Facility		$1,122.02	$1,737.80	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,949.84 / $3,467.37	Professional		$79.43	$1,949.84	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $776.25 / $1,862.09	Facility		$676.08	$776.25	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,288.25	Professional		$776.25	$776.25	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $3,311.31	Professional		$1,862.09	$1,862.09	$3,311.31