Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,581.29 / $2,045.55 / $2,109.48	Facility		$1,581.29	$2,045.55	$2,109.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,390.92 / $1,981.63 / $4,367.91	Professional		$1,390.92	$1,981.63	$4,367.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,234.89 / $1,563.08 / $2,129.96	Professional		$1,234.89	$1,563.08	$2,129.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,549.35 / $2,564.09 / $6,241.58	Professional		$1,549.35	$2,564.09	$6,241.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,195.06	Facility		$55.00	$55.00	$9,195.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,836.20 / $10,836.20 / $11,512.50	Professional		$10,836.20	$10,836.20	$11,512.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,301.98 / $1,670.46 / $2,860.00	Facility		$1,301.98	$1,670.46	$2,860.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,278.47 / $1,278.47 / $1,278.47	Professional		$1,278.47	$1,278.47	$1,278.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,791.90 / $2,234.94 / $2,324.29	Professional		$1,791.90	$2,234.94	$2,324.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,320.90 / $1,702.86 / $2,959.55	Facility		$1,320.90	$1,702.86	$2,959.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,278.47 / $2,567.67 / $3,100.50	Professional		$1,278.47	$2,567.67	$3,100.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,414.00 / $2,414.00 / $2,414.00	Facility		$2,414.00	$2,414.00	$2,414.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,050.21 / $1,407.42 / $2,277.10	Professional		$1,050.21	$1,407.42	$2,277.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,123.86 / $1,278.47 / $1,770.43	Professional		$1,123.86	$1,278.47	$1,770.43