Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.31 / $629.30 / $1,809.48	Facility		$264.31	$629.30	$1,809.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.54 / $216.76 / $283.19	Professional		$190.54	$216.76	$283.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.96 / $425.96 / $510.35	Professional		$425.96	$425.96	$510.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $559.39 / $1,660.70 / $1,660.70	Facility		$559.39	$1,660.70	$1,660.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,748.10 / $1,748.10 / $2,622.15	Professional		$1,748.10	$1,748.10	$2,622.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.27 / $349.62 / $524.42	Facility		$213.27	$349.62	$524.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $330.43 / $349.62 / $632.80	Professional		$330.43	$349.62	$632.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $227.25 / $419.54 / $1,223.67	Professional		$227.25	$419.54	$1,223.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $209.77 / $349.62 / $595.41	Facility		$209.77	$349.62	$595.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $349.62 / $437.03 / $611.84	Professional		$349.62	$437.03	$611.84
United Facility/Professional Facility Modifier Low / Median / High Price $125.86 / $146.84 / $349.62	Facility		$125.86	$146.84	$349.62
United Facility/Professional Professional Modifier Low / Median / High Price $146.84 / $146.84 / $223.76	Professional		$146.84	$146.84	$223.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.10 / $279.68 / $349.62	Professional		$181.10	$279.68	$349.62