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 $1,993.73 / $2,336.09 / $2,698.59	Professional		$1,993.73	$2,336.09	$2,698.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,368.60 / $2,368.60 / $2,368.60	Professional		$2,368.60	$2,368.60	$2,368.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,965.20 / $2,656.54 / $3,557.87	Professional		$1,965.20	$2,656.54	$3,557.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $25,842.96	Facility		$55.00	$55.00	$25,842.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,770.96 / $16,111.76 / $17,700.08	Professional		$14,770.96	$16,111.76	$17,700.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,120.36 / $3,070.96 / $4,867.12	Facility		$2,120.36	$3,070.96	$4,867.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,956.98 / $1,956.98 / $3,070.96	Professional		$1,956.98	$1,956.98	$3,070.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,402.76 / $3,402.76 / $3,402.76	Professional		$3,402.76	$3,402.76	$3,402.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,094.96 / $2,995.02 / $5,721.01	Facility		$2,094.96	$2,995.02	$5,721.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,865.36 / $2,634.06 / $3,259.13	Professional		$1,865.36	$2,634.06	$3,259.13
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 $1,380.46 / $2,111.29 / $3,166.92	Professional		$1,380.46	$2,111.29	$3,166.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,070.96 / $3,109.43 / $4,145.80	Professional		$3,070.96	$3,109.43	$4,145.80