Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,596.00 / $10,893.00	Facility		$945.00	$3,596.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,929.92 / $2,193.33 / $3,217.50	Professional		$1,929.92	$2,193.33	$3,217.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,667.58 / $1,667.58 / $1,667.58	Professional		$1,667.58	$1,667.58	$1,667.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,277.00 / $4,619.00	Facility		$900.00	$2,277.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,712.22 / $2,563.55 / $4,107.46	Professional		$1,712.22	$2,563.55	$4,107.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $35,856.16	Facility		$55.00	$55.00	$35,856.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,090.00 / $15,301.92 / $17,886.59	Professional		$14,090.00	$15,301.92	$17,886.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,960.54 / $2,376.36 / $4,868.68	Facility		$1,960.54	$2,376.36	$4,868.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,866.70 / $1,866.70 / $1,866.70	Professional		$1,866.70	$1,866.70	$1,866.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,547.00 / $1,761.90	Professional		$15.00	$1,547.00	$1,761.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,980.92 / $2,426.71 / $5,405.40	Facility		$1,980.92	$2,426.71	$5,405.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,105.80 / $2,563.55 / $3,852.50	Professional		$1,105.80	$2,563.55	$3,852.50
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,583.00	Facility		$385.00	$1,970.00	$8,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,641.56 / $2,248.84 / $3,578.59	Professional		$1,641.56	$2,248.84	$3,578.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,976.79 / $2,063.25 / $2,849.45	Professional		$1,976.79	$2,063.25	$2,849.45