Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.76 / $1,265.22 / $3,486.10	Facility		$536.76	$1,265.22	$3,486.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.95 / $426.00 / $603.50	Professional		$386.95	$426.00	$603.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $865.05 / $865.05 / $1,036.43	Professional		$865.05	$865.05	$1,036.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,136.00 / $3,372.50 / $3,372.50	Facility		$1,136.00	$3,372.50	$3,372.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,535.80 / $3,535.80 / $5,325.00	Professional		$3,535.80	$3,535.80	$5,325.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $710.00 / $1,039.32	Facility		$426.00	$710.00	$1,039.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $670.96 / $710.00 / $1,285.09	Professional		$670.96	$710.00	$1,285.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $461.50 / $859.10 / $2,485.00	Professional		$461.50	$859.10	$2,485.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $710.00 / $1,209.16	Facility		$426.00	$710.00	$1,209.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $710.00 / $859.10 / $1,242.50	Professional		$710.00	$859.10	$1,242.50
United Facility/Professional Professional Modifier Low / Median / High Price $298.20 / $298.20 / $454.40	Professional		$298.20	$298.20	$454.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $335.33 / $335.33 / $710.00	Professional		$335.33	$335.33	$710.00