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 $1,869.91 / $2,185.42 / $2,518.29	Professional		$1,869.91	$2,185.42	$2,518.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,707.78 / $1,707.78 / $1,707.78	Professional		$1,707.78	$1,707.78	$1,707.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,838.17 / $2,482.42 / $3,191.35	Professional		$1,838.17	$2,482.42	$3,191.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $24,431.66	Facility		$55.00	$55.00	$24,431.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,964.40 / $15,126.48 / $16,733.33	Professional		$13,964.40	$15,126.48	$16,733.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,019.29 / $2,822.59 / $4,599.32	Facility		$2,019.29	$2,822.59	$4,599.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,850.09 / $1,850.09 / $2,822.59	Professional		$1,850.09	$1,850.09	$2,822.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,856.49 / $2,856.49 / $2,856.49	Professional		$2,856.49	$2,856.49	$2,856.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,004.54 / $2,822.59 / $5,406.21	Facility		$2,004.54	$2,822.59	$5,406.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,838.17 / $2,477.82 / $3,070.85	Professional		$1,838.17	$2,477.82	$3,070.85
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 $1,292.69 / $1,907.49 / $2,945.71	Professional		$1,292.69	$1,907.49	$2,945.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,468.63 / $2,822.59 / $3,810.50	Professional		$2,468.63	$2,822.59	$3,810.50