Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $3,730.00 / $12,281.00	Facility		$1,002.00	$3,730.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,370.20 / $6,145.25 / $11,350.02	Professional		$4,370.20	$6,145.25	$11,350.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,818.54 / $15,556.31 / $31,321.17	Facility		$8,818.54	$15,556.31	$31,321.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.18 / $503.22 / $4,067.14	Professional		$383.18	$503.22	$4,067.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $23,805.88 / $37,448.40 / $50,088.08	Facility		$23,805.88	$37,448.40	$50,088.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $47,741.20 / $47,741.20 / $47,741.20	Professional		$47,741.20	$47,741.20	$47,741.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $561.88 / $6,163.65 / $12,583.75	Facility		$561.88	$6,163.65	$12,583.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $534.02 / $3,466.64 / $13,222.00	Professional		$534.02	$3,466.64	$13,222.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11,656.65 / $12,591.46 / $20,634.31	Professional		$11,656.65	$12,591.46	$20,634.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.33 / $6,163.65 / $12,523.65	Facility		$588.33	$6,163.65	$12,523.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $820.09 / $1,363.38 / $1,603.98	Professional		$820.09	$1,363.38	$1,603.98
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.00 / $9,027.00 / $20,955.00	Facility		$4,409.00	$9,027.00	$20,955.00
United Facility/Professional Professional Modifier Low / Median / High Price $8,379.42 / $10,916.31 / $17,413.18	Professional		$8,379.42	$10,916.31	$17,413.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10,287.46 / $13,573.16 / $14,968.68	Professional		$10,287.46	$13,573.16	$14,968.68