Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,090.30 / $9,772.37	Facility		$1,288.25	$3,090.30	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $2,290.87	Professional		$1,288.25	$1,621.81	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $9,549.93	Facility		$1,380.38	$1,621.81	$9,549.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,090.30	Professional		$2,570.40	$2,570.40	$3,090.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $15,848.93 / $15,848.93	Professional		$10,471.29	$15,848.93	$15,848.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $3,981.07	Facility		$1,513.56	$2,137.96	$3,981.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,570.40	Professional		$1,288.25	$1,698.24	$2,570.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,290.87 / $4,570.88	Professional		$2,137.96	$2,290.87	$4,570.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $5,888.44	Facility		$1,288.25	$2,137.96	$5,888.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,238.72 / $3,981.07	Professional		$1,995.26	$2,238.72	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,445.44	Professional		$891.25	$891.25	$1,445.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $2,137.96 / $2,137.96	Professional		$16.60	$2,137.96	$2,137.96