Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,760.87 / $7,328.85 / $20,539.20	Facility		$2,760.87	$7,328.85	$20,539.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,342.56 / $2,760.87 / $3,472.00	Professional		$2,342.56	$2,760.87	$3,472.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,642.90 / $2,987.09 / $12,636.99	Facility		$2,642.90	$2,987.09	$12,636.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,095.32 / $5,095.32 / $6,104.77	Professional		$5,095.32	$5,095.32	$6,104.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,693.01 / $19,869.87 / $19,869.87	Facility		$6,693.01	$19,869.87	$19,869.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,831.99 / $20,831.99 / $31,373.48	Professional		$20,831.99	$20,831.99	$31,373.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,509.88 / $4,183.13 / $6,232.86	Facility		$2,509.88	$4,183.13	$6,232.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,183.13 / $4,183.13 / $5,228.91	Professional		$4,183.13	$4,183.13	$5,228.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,764.82 / $5,228.91 / $9,412.04	Professional		$3,764.82	$5,228.91	$9,412.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,509.88 / $4,007.86 / $7,124.04	Facility		$2,509.88	$4,007.86	$7,124.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,952.98 / $4,601.43 / $7,320.48	Professional		$3,952.98	$4,601.43	$7,320.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,756.91 / $1,756.91 / $2,677.20	Professional		$1,756.91	$1,756.91	$2,677.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $4,183.13	Professional		$208.00	$208.00	$4,183.13