Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.64 / $806.88 / $1,830.41	Facility		$727.64	$806.88	$1,830.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.64 / $831.31 / $1,112.45	Professional		$727.64	$831.31	$1,112.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,086.28 / $1,086.28 / $1,086.28	Professional		$1,086.28	$1,086.28	$1,086.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,001.02 / $1,199.71 / $1,232.44	Facility		$1,001.02	$1,199.71	$1,232.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $983.85 / $1,200.00 / $2,134.26	Professional		$983.85	$1,200.00	$2,134.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,725.37 / $4,752.43 / $4,925.70	Facility		$1,725.37	$4,752.43	$4,925.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,826.31 / $5,826.31 / $7,595.10	Professional		$5,826.31	$5,826.31	$7,595.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $784.02 / $1,133.16 / $1,498.94	Facility		$784.02	$1,133.16	$1,498.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $820.74 / $981.58 / $1,574.24	Professional		$820.74	$981.58	$1,574.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,849.70 / $2,034.70 / $2,242.80	Professional		$1,849.70	$2,034.70	$2,242.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $784.02 / $1,133.16 / $1,518.87	Facility		$784.02	$1,133.16	$1,518.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $983.85 / $2,250,000.00 / $2,400,000.00	Professional		$983.85	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,308.77 / $1,308.77 / $1,308.77	Professional		$1,308.77	$1,308.77	$1,308.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,112.45 / $1,112.45 / $1,557.43	Professional		$1,112.45	$1,112.45	$1,557.43