Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,682.00 / $10,893.00	Facility		$945.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,487.50 / $2,375.94 / $3,536.28	Professional		$1,487.50	$2,375.94	$3,536.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,592.81 / $2,686.32 / $6,982.21	Facility		$1,592.81	$2,686.32	$6,982.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,053.92 / $1,239.91 / $1,239.91	Professional		$1,053.92	$1,239.91	$1,239.91
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 $1,851.51 / $2,912.70 / $4,620.87	Professional		$1,851.51	$2,912.70	$4,620.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $15,483.04	Facility		$55.00	$55.00	$15,483.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,328.49 / $16,328.49 / $16,826.72	Professional		$16,328.49	$16,328.49	$16,826.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,763.83 / $2,425.79 / $5,472.89	Facility		$1,763.83	$2,425.79	$5,472.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,612.16 / $1,612.16 / $1,612.16	Professional		$1,612.16	$1,612.16	$1,612.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,761.90 / $7,851.87	Professional		$7.00	$1,761.90	$7,851.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,750.10 / $2,425.79 / $5,472.89	Facility		$1,750.10	$2,425.79	$5,472.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,507.92 / $2,855.89 / $4,284.89	Professional		$1,507.92	$2,855.89	$4,284.89
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 $1,703.26 / $2,474.66 / $4,206.92	Professional		$1,703.26	$2,474.66	$4,206.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,897.11 / $2,040.16 / $2,753.10	Professional		$1,897.11	$2,040.16	$2,753.10