Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,238.72 / $3,388.44	Professional		$1,949.84	$2,238.72	$3,388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $3,311.31	Facility		$891.25	$2,511.89	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $2,570.40 / $4,466.84	Professional		$575.44	$2,570.40	$4,466.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $35,481.34	Facility		$54.95	$56.23	$35,481.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,125.38 / $17,782.79 / $17,782.79	Professional		$14,125.38	$17,782.79	$17,782.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,511.89 / $4,897.79	Facility		$1,659.59	$2,511.89	$4,897.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,238.72 / $3,235.94	Professional		$1,949.84	$2,238.72	$3,235.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $288.40 / $1,819.70	Professional		$251.19	$288.40	$1,819.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $1,548.82	Professional		$15.14	$15.14	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $4,570.88	Facility		$1,778.28	$2,570.40	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $2,454.71 / $3,801.89	Professional		$501.19	$2,454.71	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,290.87 / $10,000.00	Facility		$407.38	$2,290.87	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $3,467.37	Professional		$1,659.59	$2,290.87	$3,467.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $2,454.71	Professional		$1,584.89	$2,137.96	$2,454.71