Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,544.79 / $4,510.79 / $12,542.60	Facility		$1,544.79	$4,510.79	$12,542.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,441.80 / $1,622.03 / $2,059.71	Professional		$1,441.80	$1,622.03	$2,059.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,574.65 / $2,574.65 / $2,574.65	Professional		$2,574.65	$2,574.65	$2,574.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,694.44 / $6,042.58 / $13,648.74	Facility		$1,694.44	$6,042.58	$13,648.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,135.82 / $3,135.82 / $3,757.07	Professional		$3,135.82	$3,135.82	$3,757.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,119.43 / $12,229.59 / $12,229.59	Facility		$4,119.43	$12,229.59	$12,229.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,821.76 / $12,821.76 / $19,309.88	Professional		$12,821.76	$12,821.76	$19,309.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,544.79 / $2,574.65 / $3,836.23	Facility		$1,544.79	$2,574.65	$3,836.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,574.65 / $2,574.65 / $3,218.31	Professional		$2,574.65	$2,574.65	$3,218.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,317.17 / $3,218.31 / $5,792.96	Professional		$2,317.17	$3,218.31	$5,792.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,544.79 / $2,574.65 / $7,778.41	Facility		$1,544.79	$2,574.65	$7,778.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,433.17 / $2,832.12 / $4,505.64	Professional		$2,433.17	$2,832.12	$4,505.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,081.34 / $1,081.34 / $1,647.78	Professional		$1,081.34	$1,081.34	$1,647.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $33.20 / $2,574.65	Professional		$33.20	$33.20	$2,574.65