Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,254.13 / $3,329.15 / $9,329.98	Facility		$1,254.13	$3,329.15	$9,329.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,064.10 / $1,254.13 / $1,577.17	Professional		$1,064.10	$1,254.13	$1,577.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,615.17 / $1,900.20 / $1,900.20	Professional		$1,615.17	$1,900.20	$1,900.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.55 / $1,356.90 / $5,740.98	Facility		$1,200.55	$1,356.90	$5,740.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,314.54 / $2,314.54 / $2,773.08	Professional		$2,314.54	$2,314.54	$2,773.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,040.32 / $9,025.95 / $9,025.95	Facility		$3,040.32	$9,025.95	$9,025.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,463.00 / $9,463.00 / $14,251.50	Professional		$9,463.00	$9,463.00	$14,251.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,140.11 / $1,900.20 / $2,831.30	Facility		$1,140.11	$1,900.20	$2,831.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,900.20 / $1,900.20 / $2,375.25	Professional		$1,900.20	$1,900.20	$2,375.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,710.18 / $2,375.25 / $4,275.45	Professional		$1,710.18	$2,375.25	$4,275.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,140.11 / $1,820.59 / $3,236.12	Facility		$1,140.11	$1,820.59	$3,236.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,795.84 / $2,090.21 / $3,325.35	Professional		$1,795.84	$2,090.21	$3,325.35
United Facility/Professional Professional Modifier Low / Median / High Price $798.08 / $798.08 / $1,216.13	Professional		$798.08	$798.08	$1,216.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $1,900.20	Professional		$500.00	$500.00	$1,900.20