Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,642.80 / $13,011.50	Facility		$1,749.00	$4,642.80	$13,011.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,484.00 / $1,749.00 / $2,199.50	Professional		$1,484.00	$1,749.00	$2,199.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,674.27 / $1,892.32 / $8,006.10	Facility		$1,674.27	$1,892.32	$8,006.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,227.75 / $3,227.75 / $3,867.21	Professional		$3,227.75	$3,227.75	$3,867.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $12,587.50 / $12,587.50	Facility		$4,240.00	$12,587.50	$12,587.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,197.00 / $13,197.00 / $19,875.00	Professional		$13,197.00	$13,197.00	$19,875.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,590.00 / $2,650.00 / $3,948.50	Facility		$1,590.00	$2,650.00	$3,948.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,650.00 / $2,650.00 / $3,312.50	Professional		$2,650.00	$2,650.00	$3,312.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,385.00 / $3,312.50 / $5,962.50	Professional		$2,385.00	$3,312.50	$5,962.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,590.00 / $2,538.96 / $4,513.06	Facility		$1,590.00	$2,538.96	$4,513.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,504.39 / $2,915.00 / $4,637.50	Professional		$2,504.39	$2,915.00	$4,637.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,113.00 / $1,113.00 / $1,632.40	Professional		$1,113.00	$1,113.00	$1,632.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $1,232.17 / $2,650.00	Professional		$208.00	$1,232.17	$2,650.00