Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $4,920.00 / $18,048.00	Facility		$4,800.00	$4,920.00	$18,048.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,800.00 / $4,920.00 / $5,100.00	Professional		$4,800.00	$4,920.00	$5,100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,980.00 / $12,748.80 / $25,149.00	Facility		$4,980.00	$12,748.80	$25,149.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $5,100.00	Facility		$5,100.00	$5,100.00	$5,100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $5,100.00	Professional		$5,100.00	$5,100.00	$5,100.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,700.00 / $28,500.00 / $28,500.00	Facility		$5,700.00	$28,500.00	$28,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,800.00 / $22,800.00 / $27,000.00	Professional		$22,800.00	$22,800.00	$27,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,920.00 / $6,000.00 / $10,707.00	Facility		$4,920.00	$6,000.00	$10,707.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $168.60 / $168.60 / $168.60	Professional		$168.60	$168.60	$168.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,920.00 / $6,000.00 / $10,430.40	Facility		$4,920.00	$6,000.00	$10,430.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $5,100.00	Professional		$5,100.00	$5,100.00	$5,100.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,000.00 / $5,000.00 / $5,155.00	Professional		$5,000.00	$5,000.00	$5,155.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5,000.00 / $5,700.00 / $7,695.00	Professional		$5,000.00	$5,700.00	$7,695.00