Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,396.11 / $2,456.01 / $5,750.66	Facility		$2,396.11	$2,456.01	$5,750.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,396.11 / $2,456.01 / $2,824.41	Professional		$2,396.11	$2,456.01	$2,824.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,545.87 / $2,545.87 / $2,545.87	Facility		$2,545.87	$2,545.87	$2,545.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,545.87 / $2,545.87 / $2,545.87	Professional		$2,545.87	$2,545.87	$2,545.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,995.14 / $13,228.55 / $13,228.55	Facility		$2,995.14	$13,228.55	$13,228.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,381.53 / $11,381.53 / $13,478.13	Professional		$11,381.53	$11,381.53	$13,478.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $277.04 / $2,456.01 / $3,234.75	Facility		$277.04	$2,456.01	$3,234.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $202.36 / $388.13 / $2,246.36	Professional		$202.36	$388.13	$2,246.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $518.29 / $624.60	Professional		$27.40	$518.29	$624.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $280.86 / $2,456.01 / $3,234.75	Facility		$280.86	$2,456.01	$3,234.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,545.87 / $2,545.87 / $2,545.87	Professional		$2,545.87	$2,545.87	$2,545.87
United Facility/Professional Professional Modifier Low / Median / High Price $2,495.94 / $2,645.71 / $2,778.52	Professional		$2,495.94	$2,645.71	$2,778.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,495.94 / $2,495.94 / $3,494.33	Professional		$2,495.94	$2,495.94	$3,494.33