Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,556.17 / $6,196.80 / $18,867.70	Facility		$2,556.17	$6,196.80	$18,867.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,168.88 / $2,711.10 / $4,647.60	Professional		$2,168.88	$2,711.10	$4,647.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,517.44 / $8,811.08 / $17,256.00	Facility		$2,517.44	$8,811.08	$17,256.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,756.72 / $2,168.88 / $6,992.04	Professional		$1,756.72	$2,168.88	$6,992.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,196.80 / $18,396.75 / $18,396.75	Facility		$6,196.80	$18,396.75	$18,396.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,287.54 / $19,287.54 / $29,047.50	Professional		$19,287.54	$19,287.54	$29,047.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,362.53 / $3,873.00 / $5,809.50	Facility		$2,362.53	$3,873.00	$5,809.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,679.35 / $3,873.00 / $5,809.50	Professional		$3,679.35	$3,873.00	$5,809.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,517.44 / $4,647.60 / $8,714.25	Professional		$2,517.44	$4,647.60	$8,714.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,593.54 / $3,876.87 / $11,341.11	Facility		$2,593.54	$3,876.87	$11,341.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,763.89 / $4,260.30 / $6,777.75	Professional		$1,763.89	$4,260.30	$6,777.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $1,626.66 / $2,323.80	Professional		$1,626.66	$1,626.66	$2,323.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $1,549.20 / $3,873.00	Professional		$1,549.20	$1,549.20	$3,873.00