Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,682.00 / $12,480.00	Facility		$983.00	$3,682.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,391.87 / $3,682.74 / $4,464.42	Professional		$2,391.87	$3,682.74	$4,464.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,000.44 / $19,375.78 / $40,001.60	Facility		$11,000.44	$19,375.78	$40,001.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $823.71 / $823.71 / $823.71	Professional		$823.71	$823.71	$823.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $11,380.25 / $13,485.61	Facility		$2,277.00	$11,380.25	$13,485.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,665.76 / $6,665.76 / $6,665.76	Professional		$6,665.76	$6,665.76	$6,665.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $21,792.60 / $53,287.10 / $53,287.10	Facility		$21,792.60	$53,287.10	$53,287.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,371.29 / $27,944.72 / $33,483.08	Professional		$16,371.29	$27,944.72	$33,483.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,337.96 / $3,940.53 / $6,068.54	Facility		$2,337.96	$3,940.53	$6,068.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,702.36 / $3,702.36 / $3,702.36	Professional		$3,702.36	$3,702.36	$3,702.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,082.80 / $5,082.80 / $5,082.80	Professional		$5,082.80	$5,082.80	$5,082.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,337.96 / $3,995.10 / $7,075.16	Facility		$2,337.96	$3,995.10	$7,075.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,252.56 / $3,702.36 / $6,446.97	Professional		$1,252.56	$3,702.36	$6,446.97
United Facility/Professional Facility Modifier Low / Median / High Price $12,500.50 / $16,875.68 / $28,126.13	Facility		$12,500.50	$16,875.68	$28,126.13
United Facility/Professional Professional Modifier Low / Median / High Price $3,385.11 / $4,440.66 / $5,953.18	Professional		$3,385.11	$4,440.66	$5,953.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,409.66 / $1,409.66 / $1,903.04	Professional		$1,409.66	$1,409.66	$1,903.04