Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,836.00	Facility		$969.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,478.73 / $1,851.57 / $2,311.23	Professional		$1,478.73	$1,851.57	$2,311.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,301.02 / $2,301.02 / $2,301.02	Professional		$2,301.02	$2,301.02	$2,301.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.11 / $2,154.50 / $2,543.66	Professional		$1,621.11	$2,154.50	$2,543.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,888.75	Facility		$55.00	$55.00	$7,888.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,235.20 / $12,381.76 / $13,552.28	Professional		$12,235.20	$12,381.76	$13,552.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,184.48 / $1,835.33 / $3,925.33	Facility		$1,184.48	$1,835.33	$3,925.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,170.10 / $1,170.10 / $1,712.79	Professional		$1,170.10	$1,170.10	$1,712.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,733.50 / $1,733.50 / $1,733.50	Professional		$1,733.50	$1,733.50	$1,733.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,281.26 / $1,890.07 / $4,613.99	Facility		$1,281.26	$1,890.07	$4,613.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,621.11 / $2,154.50 / $2,670.13	Professional		$1,621.11	$2,154.50	$2,670.13
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,014.02 / $1,508.68 / $2,658.99	Professional		$1,014.02	$1,508.68	$2,658.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,170.10 / $1,595.48 / $2,267.56	Professional		$1,170.10	$1,595.48	$2,267.56