Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.67 / $1,321.60 / $3,641.45	Facility		$560.67	$1,321.60	$3,641.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.19 / $444.98 / $630.39	Professional		$404.19	$444.98	$630.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.58 / $903.58 / $1,082.58	Professional		$903.58	$903.58	$1,082.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,186.61 / $3,522.79 / $3,522.79	Facility		$1,186.61	$3,522.79	$3,522.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,693.37 / $3,693.37 / $5,562.30	Professional		$3,693.37	$3,693.37	$5,562.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $444.98 / $741.64 / $1,085.29	Facility		$444.98	$741.64	$1,085.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $700.91 / $741.64 / $1,342.37	Professional		$700.91	$741.64	$1,342.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $482.07 / $897.38 / $2,595.73	Professional		$482.07	$897.38	$2,595.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $444.98 / $741.64 / $1,263.03	Facility		$444.98	$741.64	$1,263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.64 / $927.05 / $1,297.86	Professional		$741.64	$927.05	$1,297.86
United Facility/Professional Professional Modifier Low / Median / High Price $311.49 / $311.49 / $474.65	Professional		$311.49	$311.49	$474.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $335.33 / $335.33 / $741.64	Professional		$335.33	$335.33	$741.64