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 $1,667.78 / $1,947.67 / $2,366.66	Professional		$1,667.78	$1,947.67	$2,366.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,932.92 / $1,932.92 / $1,932.92	Professional		$1,932.92	$1,932.92	$1,932.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,720.45 / $2,289.11 / $3,027.67	Professional		$1,720.45	$2,289.11	$3,027.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $22,597.74	Facility		$55.00	$55.00	$22,597.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,916.24 / $13,445.28 / $15,477.60	Professional		$12,916.24	$13,445.28	$15,477.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,854.09 / $2,457.23 / $4,098.89	Facility		$1,854.09	$2,457.23	$4,098.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,711.22 / $1,711.22 / $2,457.23	Professional		$1,711.22	$1,711.22	$2,457.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,087.76 / $2,087.76 / $2,087.76	Professional		$2,087.76	$2,087.76	$2,087.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,817.30 / $2,457.23 / $4,818.02	Facility		$1,817.30	$2,457.23	$4,818.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,720.45 / $2,269.19 / $2,807.07	Professional		$1,720.45	$2,269.19	$2,807.07
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 $1,317.10 / $1,826.07 / $2,818.31	Professional		$1,317.10	$1,826.07	$2,818.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,086.73 / $2,457.23 / $3,317.26	Professional		$2,086.73	$2,457.23	$3,317.26