Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,275.72 / $3,725.10 / $10,358.00	Facility		$1,275.72	$3,725.10	$10,358.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,190.67 / $1,403.29 / $1,722.22	Professional		$1,190.67	$1,403.29	$1,722.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,370.20 / $4,990.10 / $11,270.37	Facility		$1,370.20	$4,990.10	$11,270.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,589.91 / $2,589.91 / $3,103.00	Professional		$2,589.91	$2,589.91	$3,103.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,401.92 / $10,099.45 / $10,099.45	Facility		$3,401.92	$10,099.45	$10,099.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,588.48 / $10,588.48 / $15,946.50	Professional		$10,588.48	$10,588.48	$15,946.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,275.72 / $2,126.19 / $3,168.04	Facility		$1,275.72	$2,126.19	$3,168.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,126.19 / $2,126.19 / $2,657.75	Professional		$2,126.19	$2,126.19	$2,657.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,913.58 / $2,657.75 / $4,783.95	Professional		$1,913.58	$2,657.75	$4,783.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,275.72 / $2,126.19 / $6,423.06	Facility		$1,275.72	$2,126.19	$6,423.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,009.20 / $2,338.82 / $3,720.85	Professional		$2,009.20	$2,338.82	$3,720.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,551.44 / $2,657.75 / $2,657.75	Facility		$2,551.44	$2,657.75	$2,657.75
United Facility/Professional Professional Modifier Low / Median / High Price $893.00 / $893.00 / $1,360.77	Professional		$893.00	$893.00	$1,360.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $21.15 / $2,126.19	Professional		$21.15	$21.15	$2,126.19