Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $809.00 / $3,219.00 / $10,893.00	Facility		$809.00	$3,219.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.20 / $868.84 / $986.89	Professional		$625.20	$868.84	$986.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $591.40 / $591.40 / $591.40	Professional		$591.40	$591.40	$591.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,039.25 / $1,240.44 / $4,939.00	Facility		$1,039.25	$1,240.44	$4,939.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,328.07 / $4,328.07 / $4,328.07	Professional		$4,328.07	$4,328.07	$4,328.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,268.39 / $5,223.20 / $5,373.50	Facility		$4,268.39	$5,223.20	$5,373.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,567.60 / $6,755.28 / $7,869.15	Professional		$6,567.60	$6,755.28	$7,869.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $681.91 / $924.42 / $1,835.73	Facility		$681.91	$924.42	$1,835.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.18 / $870.18 / $870.18	Professional		$870.18	$870.18	$870.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $1,194.59	Professional		$4.00	$4.00	$1,194.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $732.37 / $938.97 / $2,079.94	Facility		$732.37	$938.97	$2,079.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $210.64 / $817.22 / $1,526.14	Professional		$210.64	$817.22	$1,526.14
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,045.00 / $4,480.00	Facility		$597.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $757.88 / $1,013.66 / $1,614.28	Professional		$757.88	$1,013.66	$1,614.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,038.24 / $1,038.24 / $1,401.62	Professional		$1,038.24	$1,038.24	$1,401.62