Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $26,302.68 / $53,703.18	Facility		$1,548.82	$26,302.68	$53,703.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $4,365.16	Professional		$1,380.38	$2,089.30	$4,365.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,388.44 / $3,630.78	Professional		$2,454.71	$3,388.44	$3,630.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,265.80 / $13,489.63	Facility		$2,511.89	$4,265.80	$13,489.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,258.93 / $1,479.11	Professional		$549.54	$1,258.93	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42,657.95 / $46,773.51 / $52,480.75	Facility		$42,657.95	$46,773.51	$52,480.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $17,782.79 / $17,782.79	Facility		$17,782.79	$17,782.79	$17,782.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,982.44 / $23,988.33 / $23,988.33	Professional		$16,982.44	$23,988.33	$23,988.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,801.89 / $29,512.09	Facility		$1,778.28	$3,801.89	$29,512.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $4,786.30	Professional		$1,288.25	$2,089.30	$4,786.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $1,698.24 / $1,949.84	Professional		$30.20	$1,698.24	$1,949.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,630.27 / $4,365.16	Facility		$1,288.25	$2,630.27	$4,365.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $3,467.37	Professional		$1,412.54	$2,187.76	$3,467.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,137.96	Professional		$1,949.84	$1,949.84	$2,137.96