Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,645.41 / $1,745.80 / $6,186.74	Facility		$1,645.41	$1,745.80	$6,186.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,645.41 / $1,686.54 / $1,748.25	Professional		$1,645.41	$1,686.54	$1,748.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,450.14 / $3,670.30 / $7,323.21	Facility		$1,450.14	$3,670.30	$7,323.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,727.68 / $1,727.68 / $1,727.68	Professional		$1,727.68	$1,727.68	$1,727.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Facility		$1,748.25	$1,748.25	$1,748.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Professional		$1,748.25	$1,748.25	$1,748.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,444.73 / $4,113.52 / $7,712.85	Facility		$2,444.73	$4,113.52	$7,712.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,815.69 / $7,815.69 / $9,255.42	Professional		$7,815.69	$7,815.69	$9,255.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,707.11 / $2,056.76 / $4,134.42	Facility		$1,707.11	$2,056.76	$4,134.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,466.63 / $1,466.63 / $1,742.80	Professional		$1,466.63	$1,466.63	$1,742.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $313.77 / $469.04 / $492.49	Professional		$313.77	$469.04	$492.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,707.11 / $2,056.76 / $3,568.65	Facility		$1,707.11	$2,056.76	$3,568.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Professional		$1,748.25	$1,748.25	$1,748.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,713.97 / $1,713.97 / $1,713.97	Professional		$1,713.97	$1,713.97	$1,713.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $567.61 / $766.27 / $1,713.97	Professional		$567.61	$766.27	$1,713.97