Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,559.78 / $6,795.04 / $19,043.20	Facility		$2,559.78	$6,795.04	$19,043.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,171.94 / $2,559.78 / $3,219.12	Professional		$2,171.94	$2,559.78	$3,219.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,878.45 / $3,878.45 / $3,878.45	Professional		$3,878.45	$3,878.45	$3,878.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,450.40 / $2,769.53 / $11,716.48	Facility		$2,450.40	$2,769.53	$11,716.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,724.08 / $4,724.08 / $5,659.99	Professional		$4,724.08	$4,724.08	$5,659.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,205.52 / $18,422.64 / $18,422.64	Facility		$6,205.52	$18,422.64	$18,422.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,314.68 / $19,314.68 / $29,088.38	Professional		$19,314.68	$19,314.68	$29,088.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,327.07 / $3,878.45 / $5,778.89	Facility		$2,327.07	$3,878.45	$5,778.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,878.45 / $3,878.45 / $4,848.06	Professional		$3,878.45	$3,878.45	$4,848.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,490.61 / $4,848.06 / $8,726.51	Professional		$3,490.61	$4,848.06	$8,726.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,327.07 / $3,715.96 / $6,605.16	Facility		$2,327.07	$3,715.96	$6,605.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,665.04 / $4,266.30 / $6,787.29	Professional		$3,665.04	$4,266.30	$6,787.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,628.95 / $1,628.95 / $3,878.45	Professional		$1,628.95	$1,628.95	$3,878.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $592.42 / $3,878.45	Professional		$239.16	$592.42	$3,878.45