Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,570.00 / $10,893.00	Facility		$945.00	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $3,279.38	Professional		$1,987.50	$1,987.50	$3,279.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,808.22 / $3,068.80 / $12,554.00	Facility		$1,808.22	$3,068.80	$12,554.00
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 $371.00 / $630.00 / $4,717.76	Professional		$371.00	$630.00	$4,717.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,755.51 / $7,755.51 / $7,755.51	Professional		$7,755.51	$7,755.51	$7,755.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $5,641.32	Facility		$1,987.50	$1,987.50	$5,641.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $5,773.00 / $6,321.40	Professional		$7.00	$5,773.00	$6,321.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $5,641.32	Facility		$1,987.50	$1,987.50	$5,641.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.00 / $616.00 / $4,186.00	Professional		$371.00	$616.00	$4,186.00
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 $1,650.44 / $1,650.44 / $12,235.00	Professional		$1,650.44	$1,650.44	$12,235.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,810.80 / $2,810.80 / $3,794.58	Professional		$2,810.80	$2,810.80	$3,794.58