Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $6,307.20 / $17,537.80	Facility		$2,160.00	$6,307.20	$17,537.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,016.00 / $2,376.00 / $2,916.00	Professional		$2,016.00	$2,376.00	$2,916.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $10,800.00 / $18,864.00	Facility		$3,960.00	$10,800.00	$18,864.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,319.96 / $8,449.04 / $19,082.75	Facility		$2,319.96	$8,449.04	$19,082.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,384.80 / $4,384.80 / $5,253.49	Professional		$4,384.80	$4,384.80	$5,253.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,760.00 / $17,100.00 / $17,100.00	Facility		$5,760.00	$17,100.00	$17,100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,928.00 / $17,928.00 / $27,000.00	Professional		$17,928.00	$17,928.00	$27,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $3,600.00 / $5,364.00	Facility		$2,160.00	$3,600.00	$5,364.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $4,500.00	Professional		$3,600.00	$3,600.00	$4,500.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $4,500.00 / $8,100.00	Professional		$3,240.00	$4,500.00	$8,100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $3,600.00 / $10,875.12	Facility		$2,160.00	$3,600.00	$10,875.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,401.85 / $3,960.00 / $6,300.00	Professional		$3,401.85	$3,960.00	$6,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $1,512.00 / $2,304.00	Professional		$1,512.00	$1,512.00	$2,304.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,440.00 / $1,440.00 / $3,600.00	Professional		$1,440.00	$1,440.00	$3,600.00