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 $2,137.27 / $2,482.69 / $2,914.10	Professional		$2,137.27	$2,482.69	$2,914.10
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 $2,103.48 / $2,858.31 / $3,838.78	Professional		$2,103.48	$2,858.31	$3,838.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $27,643.88	Facility		$55.00	$55.00	$27,643.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,800.40 / $17,297.04 / $18,932.93	Professional		$15,800.40	$17,297.04	$18,932.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,246.51 / $3,319.32 / $5,217.53	Facility		$2,246.51	$3,319.32	$5,217.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,984.56 / $1,984.56 / $3,319.32	Professional		$1,984.56	$1,984.56	$3,319.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,068.03 / $4,068.03 / $4,068.03	Professional		$4,068.03	$4,068.03	$4,068.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,245.79 / $3,210.65 / $6,132.88	Facility		$2,245.79	$3,210.65	$6,132.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,002.57 / $2,803.83 / $3,492.63	Professional		$2,002.57	$2,803.83	$3,492.63
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 $1,428.79 / $2,200.01 / $3,236.80	Professional		$1,428.79	$2,200.01	$3,236.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,319.32 / $3,617.00 / $4,481.08	Professional		$3,319.32	$3,617.00	$4,481.08