Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,229.73 / $3,264.36 / $9,148.41	Facility		$1,229.73	$3,264.36	$9,148.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,043.41 / $1,229.73 / $1,546.47	Professional		$1,043.41	$1,229.73	$1,546.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.96 / $81.56 / $135.43	Facility		$27.96	$81.56	$135.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,177.18 / $1,330.48 / $5,628.60	Facility		$1,177.18	$1,330.48	$5,628.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,269.44 / $2,269.44 / $2,719.06	Professional		$2,269.44	$2,269.44	$2,719.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,981.15 / $8,850.29 / $8,850.29	Facility		$2,981.15	$8,850.29	$8,850.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,278.84 / $9,278.84 / $13,974.15	Professional		$9,278.84	$9,278.84	$13,974.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,117.93 / $1,863.22 / $2,776.20	Facility		$1,117.93	$1,863.22	$2,776.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,863.22 / $1,863.22 / $2,329.03	Professional		$1,863.22	$1,863.22	$2,329.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,676.90 / $2,329.03 / $4,192.24	Professional		$1,676.90	$2,329.03	$4,192.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,117.93 / $1,785.15 / $3,173.13	Facility		$1,117.93	$1,785.15	$3,173.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,760.68 / $2,049.54 / $3,260.64	Professional		$1,760.68	$2,049.54	$3,260.64
United Facility/Professional Professional Modifier Low / Median / High Price $782.55 / $782.55 / $1,192.46	Professional		$782.55	$782.55	$1,192.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $965.15 / $2,515.35	Professional		$208.00	$965.15	$2,515.35