Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,287.00 / $3,416.40 / $9,574.50	Facility		$1,287.00	$3,416.40	$9,574.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,092.00 / $1,287.00 / $1,618.50	Professional		$1,092.00	$1,287.00	$1,618.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $1,950.00	Professional		$1,950.00	$1,950.00	$1,950.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.01 / $1,392.46 / $5,890.49	Facility		$1,232.01	$1,392.46	$5,890.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,374.96 / $2,374.96 / $2,845.47	Professional		$2,374.96	$2,374.96	$2,845.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,120.00 / $9,262.50 / $9,262.50	Facility		$3,120.00	$9,262.50	$9,262.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,711.00 / $9,711.00 / $14,625.00	Professional		$9,711.00	$9,711.00	$14,625.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,170.00 / $1,950.00 / $2,905.50	Facility		$1,170.00	$1,950.00	$2,905.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $2,437.50	Professional		$1,950.00	$1,950.00	$2,437.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,755.00 / $2,437.50 / $4,387.50	Professional		$1,755.00	$2,437.50	$4,387.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,170.00 / $1,868.30 / $3,320.93	Facility		$1,170.00	$1,868.30	$3,320.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,842.61 / $2,145.00 / $3,412.50	Professional		$1,842.61	$2,145.00	$3,412.50
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $819.00 / $1,950.00	Facility		$702.00	$819.00	$1,950.00
United Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $819.00 / $1,248.00	Professional		$819.00	$819.00	$1,248.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,510.47 / $1,549.20 / $1,950.00	Professional		$1,510.47	$1,549.20	$1,950.00