Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,743.10 / $4,581.35 / $10,314.10	Facility		$2,743.10	$4,581.35	$10,314.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,743.10 / $2,811.68 / $2,914.55	Professional		$2,743.10	$2,811.68	$2,914.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,845.97 / $7,203.15 / $14,229.85	Facility		$2,845.97	$7,203.15	$14,229.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,880.26 / $2,880.26 / $2,880.26	Professional		$2,880.26	$2,880.26	$2,880.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $2,914.55	Facility		$2,914.55	$2,914.55	$2,914.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $2,914.55	Professional		$2,914.55	$2,914.55	$2,914.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,949.32 / $15,144.20 / $15,144.20	Facility		$4,949.32	$15,144.20	$15,144.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,029.74 / $13,029.74 / $15,429.96	Professional		$13,029.74	$13,029.74	$15,429.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,845.97 / $3,428.88 / $6,892.61	Facility		$2,845.97	$3,428.88	$6,892.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,042.68 / $3,042.68 / $3,257.44	Professional		$3,042.68	$3,042.68	$3,257.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,812.95 / $2,710.08 / $2,845.58	Professional		$1,812.95	$2,710.08	$2,845.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,914.55 / $3,428.88 / $5,960.76	Facility		$2,914.55	$3,428.88	$5,960.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $2,914.55	Professional		$2,914.55	$2,914.55	$2,914.55
United Facility/Professional Professional Modifier Low / Median / High Price $2,857.40 / $2,857.40 / $2,945.98	Professional		$2,857.40	$2,857.40	$2,945.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,857.40 / $3,257.44 / $4,397.54	Professional		$2,857.40	$3,257.44	$4,397.54