Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,168.52 / $3,101.89 / $8,693.06	Facility		$1,168.52	$3,101.89	$8,693.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.47 / $1,168.52 / $1,469.50	Professional		$991.47	$1,168.52	$1,469.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.39 / $149.31 / $248.06	Facility		$53.39	$149.31	$248.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,118.58 / $1,264.27 / $5,348.15	Facility		$1,118.58	$1,264.27	$5,348.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,156.50 / $2,156.50 / $2,583.73	Professional		$2,156.50	$2,156.50	$2,583.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,832.77 / $8,409.78 / $8,409.78	Facility		$2,832.77	$8,409.78	$8,409.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,816.99 / $8,816.99 / $13,278.60	Professional		$8,816.99	$8,816.99	$13,278.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,062.29 / $1,770.48 / $2,638.02	Facility		$1,062.29	$1,770.48	$2,638.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,770.48 / $1,770.48 / $2,213.10	Professional		$1,770.48	$1,770.48	$2,213.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,593.43 / $2,213.10 / $3,983.58	Professional		$1,593.43	$2,213.10	$3,983.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,062.29 / $1,696.29 / $3,015.20	Facility		$1,062.29	$1,696.29	$3,015.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,672.96 / $1,947.53 / $3,098.34	Professional		$1,672.96	$1,947.53	$3,098.34
United Facility/Professional Facility Modifier Low / Median / High Price $743.60 / $1,770.48 / $2,124.58	Facility		$743.60	$1,770.48	$2,124.58
United Facility/Professional Professional Modifier Low / Median / High Price $743.60 / $743.60 / $1,090.61	Professional		$743.60	$743.60	$1,090.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $33.20 / $1,770.48	Professional		$33.20	$33.20	$1,770.48