Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,751.76 / $5,115.14 / $13,278.30	Facility		$1,751.76	$5,115.14	$13,278.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,634.98 / $1,926.94 / $2,773.62	Professional		$1,634.98	$1,926.94	$2,773.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $3,500.00 / $3,500.00	Professional		$3,500.00	$3,500.00	$3,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,807.08 / $11,138.78 / $15,477.47	Facility		$5,807.08	$11,138.78	$15,477.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,263.10 / $4,263.10 / $5,107.68	Professional		$4,263.10	$4,263.10	$5,107.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,090.00 / $16,625.00 / $16,625.00	Facility		$6,090.00	$16,625.00	$16,625.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,430.00 / $17,430.00 / $26,250.00	Professional		$17,430.00	$17,430.00	$26,250.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,751.76 / $3,150.00 / $4,725.00	Facility		$1,751.76	$3,150.00	$4,725.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,325.00 / $3,570.00 / $5,250.00	Professional		$3,325.00	$3,570.00	$5,250.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,150.00 / $4,375.00 / $7,875.00	Professional		$3,150.00	$4,375.00	$7,875.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,674.48 / $12,352.11 / $15,727.76	Facility		$6,674.48	$12,352.11	$15,727.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,248.09 / $3,211.56 / $6,545.00	Professional		$2,248.09	$3,211.56	$6,545.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,226.23 / $1,868.54	Professional		$1,226.23	$1,226.23	$1,868.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,167.83 / $1,167.83 / $3,500.00	Professional		$1,167.83	$1,167.83	$3,500.00