Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,218.00 / $3,556.56 / $9,889.35	Facility		$1,218.00	$3,556.56	$9,889.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,136.80 / $1,339.80 / $1,725.50	Professional		$1,136.80	$1,339.80	$1,725.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,308.20 / $4,764.32 / $10,760.19	Facility		$1,308.20	$4,764.32	$10,760.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,472.58 / $2,472.58 / $2,962.43	Professional		$2,472.58	$2,472.58	$2,962.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $9,642.50 / $9,642.50	Facility		$3,248.00	$9,642.50	$9,642.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,109.40 / $10,109.40 / $15,225.00	Professional		$10,109.40	$10,109.40	$15,225.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,218.00 / $2,030.00 / $3,024.70	Facility		$1,218.00	$2,030.00	$3,024.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,030.00 / $2,030.00 / $2,537.50	Professional		$2,030.00	$2,030.00	$2,537.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,827.00 / $2,537.50 / $4,567.50	Professional		$1,827.00	$2,537.50	$4,567.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,218.00 / $2,030.00 / $6,132.83	Facility		$1,218.00	$2,030.00	$6,132.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,918.41 / $2,233.00 / $3,552.50	Professional		$1,918.41	$2,233.00	$3,552.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,030.00 / $2,030.00 / $2,537.50	Facility		$2,030.00	$2,030.00	$2,537.50
United Facility/Professional Professional Modifier Low / Median / High Price $852.60 / $852.60 / $1,299.20	Professional		$852.60	$852.60	$1,299.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $791.70 / $2,030.00	Professional		$304.00	$791.70	$2,030.00