Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.60 / $1,856.00 / $5,651.06	Facility		$765.60	$1,856.00	$5,651.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.60 / $812.00 / $1,392.00	Professional		$649.60	$812.00	$1,392.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $5.50 / $690.20	Professional		$4.67	$5.50	$690.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $747.54 / $2,722.47 / $6,148.94	Facility		$747.54	$2,722.47	$6,148.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.62 / $653.20 / $2,162.48	Professional		$533.62	$653.20	$2,162.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,868.79 / $5,690.22 / $5,690.22	Facility		$1,868.79	$5,690.22	$5,690.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,965.74 / $5,965.74 / $8,984.54	Professional		$5,965.74	$5,965.74	$8,984.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $696.00 / $1,197.94 / $1,796.91	Facility		$696.00	$1,197.94	$1,796.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,138.04 / $1,221.90 / $1,796.91	Professional		$1,138.04	$1,221.90	$1,796.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,078.15 / $1,437.53 / $2,695.36	Professional		$1,078.15	$1,437.53	$2,695.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $696.00 / $1,197.94 / $3,618.53	Facility		$696.00	$1,197.94	$3,618.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $543.32 / $1,223.80 / $2,030.00	Professional		$543.32	$1,223.80	$2,030.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $487.20 / $824.21	Professional		$487.20	$487.20	$824.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $351.00 / $1,197.94 / $1,617.22	Professional		$351.00	$1,197.94	$1,617.22