Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,607.10 / $4,266.12 / $11,955.80	Facility		$1,607.10	$4,266.12	$11,955.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,363.60 / $1,607.10 / $2,021.05	Professional		$1,363.60	$1,607.10	$2,021.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,435.00 / $2,435.00 / $2,435.00	Professional		$2,435.00	$2,435.00	$2,435.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,538.43 / $1,738.78 / $7,356.27	Facility		$1,538.43	$1,738.78	$7,356.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,965.96 / $2,965.96 / $3,553.56	Professional		$2,965.96	$2,965.96	$3,553.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,896.00 / $11,566.25 / $11,566.25	Facility		$3,896.00	$11,566.25	$11,566.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,126.30 / $12,126.30 / $18,262.50	Professional		$12,126.30	$12,126.30	$18,262.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,461.00 / $2,435.00 / $3,628.15	Facility		$1,461.00	$2,435.00	$3,628.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,435.00 / $2,435.00 / $3,043.75	Professional		$2,435.00	$2,435.00	$3,043.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,191.50 / $3,043.75 / $5,478.75	Professional		$2,191.50	$3,043.75	$5,478.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,461.00 / $2,332.96 / $4,146.89	Facility		$1,461.00	$2,332.96	$4,146.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,301.12 / $2,678.50 / $4,261.25	Professional		$2,301.12	$2,678.50	$4,261.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,022.70 / $1,022.70 / $1,558.40	Professional		$1,022.70	$1,022.70	$1,558.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $974.00 / $974.00 / $2,435.00	Professional		$974.00	$974.00	$2,435.00