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 $1,539.09 / $1,848.39 / $2,198.44	Professional		$1,539.09	$1,848.39	$2,198.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,720.61 / $1,720.61 / $1,720.61	Professional		$1,720.61	$1,720.61	$1,720.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,469.58 / $2,092.77 / $2,551.41	Professional		$1,469.58	$2,092.77	$2,551.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $20,577.25	Facility		$55.00	$55.00	$20,577.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,760.96 / $12,087.04 / $14,091.00	Professional		$11,760.96	$12,087.04	$14,091.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,740.36 / $2,633.29 / $3,903.90	Facility		$1,740.36	$2,633.29	$3,903.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,558.24 / $1,558.24 / $2,822.59	Professional		$1,558.24	$1,558.24	$2,822.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,861.55 / $2,861.55 / $2,861.55	Professional		$2,861.55	$2,861.55	$2,861.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,713.96 / $2,402.30 / $4,588.80	Facility		$1,713.96	$2,402.30	$4,588.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,469.58 / $2,092.77 / $2,596.14	Professional		$1,469.58	$2,092.77	$2,596.14
United Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $2,546.00 / $9,187.00	Facility		$448.00	$2,546.00	$9,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,320.12 / $1,745.72 / $2,761.98	Professional		$1,320.12	$1,745.72	$2,761.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,206.41 / $2,822.59 / $3,810.50	Professional		$2,206.41	$2,822.59	$3,810.50