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 $1,862.09 / $1,862.09 / $3,019.95	Professional		$1,862.09	$1,862.09	$3,019.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,290.87 / $5,623.41	Facility		$1,318.26	$2,290.87	$5,623.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $741.31	Professional		$346.74	$562.34	$741.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $56.23	Facility		$54.95	$56.23	$56.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,760.83 / $6,760.83	Professional		$6,309.57	$6,760.83	$6,760.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,041.74 / $5,495.41	Facility		$1,862.09	$2,041.74	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,137.96	Professional		$1,862.09	$1,862.09	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,995.26 / $5,370.32	Facility		$1,862.09	$1,995.26	$5,370.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $562.34 / $724.44	Professional		$316.23	$562.34	$724.44
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 $2,344.23 / $7,943.28 / $8,128.31	Professional		$2,344.23	$7,943.28	$8,128.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,819.70	Professional		$1,445.44	$1,445.44	$1,819.70