Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $501.19 / $1,584.89	Facility		$208.93	$501.19	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $371.54	Professional		$208.93	$263.03	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $512.86	Professional		$426.58	$426.58	$512.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,630.27 / $2,630.27	Professional		$1,737.80	$2,630.27	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $416.87 / $1,584.89	Facility		$229.09	$416.87	$1,584.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $371.54	Professional		$208.93	$263.03	$371.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $380.19 / $741.31	Professional		$338.84	$380.19	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $616.60	Professional		$363.08	$436.52	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $208.93	Professional		$147.91	$147.91	$208.93