Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $10,836.00	Facility		$969.00	$3,682.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.58 / $2,252.63 / $2,668.13	Professional		$1,905.58	$2,252.63	$2,668.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,053.71 / $2,053.71 / $2,053.71	Professional		$2,053.71	$2,053.71	$2,053.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,878.35 / $2,541.62 / $3,268.82	Professional		$1,878.35	$2,541.62	$3,268.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $25,019.39	Facility		$55.00	$55.00	$25,019.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,300.48 / $14,678.00 / $18,059.40	Professional		$14,300.48	$14,678.00	$18,059.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,112.89 / $3,197.71 / $4,740.66	Facility		$2,112.89	$3,197.71	$4,740.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,894.61 / $1,894.61 / $3,319.32	Professional		$1,894.61	$1,894.61	$3,319.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,547.82 / $3,547.82 / $3,547.82	Professional		$3,547.82	$3,547.82	$3,547.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,081.34 / $2,901.51 / $5,572.36	Facility		$2,081.34	$2,901.51	$5,572.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,878.35 / $2,541.62 / $3,240.46	Professional		$1,878.35	$2,541.62	$3,240.46
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 $1,555.38 / $2,201.85 / $3,366.21	Professional		$1,555.38	$2,201.85	$3,366.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,313.19 / $3,319.32 / $4,481.08	Professional		$3,313.19	$3,319.32	$4,481.08