Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,269.07 / $6,023.35 / $16,880.50	Facility		$2,269.07	$6,023.35	$16,880.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,925.27 / $2,269.07 / $2,853.53	Professional		$1,925.27	$2,269.07	$2,853.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,922.28 / $3,437.98 / $3,437.98	Professional		$2,922.28	$3,437.98	$3,437.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,172.12 / $2,455.00 / $10,386.53	Facility		$2,172.12	$2,455.00	$10,386.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,187.37 / $4,187.37 / $5,016.93	Professional		$4,187.37	$4,187.37	$5,016.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,500.77 / $16,330.41 / $16,330.41	Facility		$5,500.77	$16,330.41	$16,330.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,121.14 / $17,121.14 / $25,784.85	Professional		$17,121.14	$17,121.14	$25,784.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,062.79 / $3,437.98 / $5,122.59	Facility		$2,062.79	$3,437.98	$5,122.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,437.98 / $3,437.98 / $4,297.47	Professional		$3,437.98	$3,437.98	$4,297.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,094.18 / $4,297.47 / $7,735.45	Professional		$3,094.18	$4,297.47	$7,735.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,062.79 / $3,437.98 / $5,855.02	Facility		$2,062.79	$3,437.98	$5,855.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,249.01 / $3,781.78 / $6,016.47	Professional		$3,249.01	$3,781.78	$6,016.47
United Facility/Professional Professional Modifier Low / Median / High Price $1,443.95 / $1,443.95 / $2,117.80	Professional		$1,443.95	$1,443.95	$2,117.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $325.33 / $325.33 / $3,437.98	Professional		$325.33	$325.33	$3,437.98