Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.00 / $3,553.00 / $11,232.00	Facility		$812.00	$3,553.00	$11,232.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $510.40 / $568.94 / $716.49	Professional		$510.40	$568.94	$716.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.06 / $4,799.47 / $9,190.95	Facility		$2,777.06	$4,799.47	$9,190.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.52 / $540.61 / $540.61	Professional		$459.52	$540.61	$540.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,376.10 / $2,376.10 / $2,376.10	Facility		$2,376.10	$2,376.10	$2,376.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.17 / $746.79 / $1,159.25	Professional		$572.17	$746.79	$1,159.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $26,542.00 / $26,542.00	Facility		$9,388.90	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,782.60 / $5,976.81 / $5,976.81	Professional		$4,782.60	$5,976.81	$5,976.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.32 / $749.77 / $1,180.29	Facility		$549.32	$749.77	$1,180.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $528.80 / $5,306.00 / $6,634.00	Professional		$528.80	$5,306.00	$6,634.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,146.90 / $1,146.90 / $1,146.90	Professional		$1,146.90	$1,146.90	$1,146.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.32 / $758.83 / $1,322.92	Facility		$549.32	$758.83	$1,322.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $579.78 / $749.17 / $1,148.23	Professional		$579.78	$749.17	$1,148.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $609.67 / $921.58 / $1,424.08	Professional		$609.67	$921.58	$1,424.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $705.66 / $746.56 / $1,001.48	Professional		$705.66	$746.56	$1,001.48