Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,577.10 / $18,480.00 / $48,667.00	Facility		$1,577.10	$18,480.00	$48,667.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,280.30 / $1,856.82 / $4,348.67	Professional		$1,280.30	$1,856.82	$4,348.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,413.19 / $2,413.19 / $2,413.19	Professional		$2,413.19	$2,413.19	$2,413.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,520.30 / $5,456.92 / $8,281.21	Facility		$2,520.30	$5,456.92	$8,281.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $553.52 / $1,264.38 / $1,487.50	Professional		$553.52	$1,264.38	$1,487.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41,910.00 / $45,037.00 / $48,764.00	Facility		$41,910.00	$45,037.00	$48,764.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,316.69 / $2,316.69 / $2,316.69	Professional		$2,316.69	$2,316.69	$2,316.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,455.63 / $17,849.98 / $17,849.98	Facility		$5,455.63	$17,849.98	$17,849.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,830.00 / $16,830.00 / $24,015.68	Professional		$16,830.00	$16,830.00	$24,015.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,668.27 / $2,559.87 / $5,270.40	Facility		$1,668.27	$2,559.87	$5,270.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,595.17 / $5,306.00 / $6,634.00	Professional		$2,595.17	$5,306.00	$6,634.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,200.00 / $5,200.00 / $5,200.00	Professional		$5,200.00	$5,200.00	$5,200.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,668.27 / $2,883.53 / $45,839.00	Facility		$1,668.27	$2,883.53	$45,839.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,316.69 / $2,316.69 / $2,316.69	Professional		$2,316.69	$2,316.69	$2,316.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,417.43 / $2,176.98 / $3,438.65	Professional		$1,417.43	$2,176.98	$3,438.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $1,941.66 / $2,922.78	Professional		$750.00	$1,941.66	$2,922.78