Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.62 / $1,248.40 / $3,439.75	Facility		$529.62	$1,248.40	$3,439.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.81 / $420.34 / $567.45	Professional		$381.81	$420.34	$567.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $853.23 / $853.23 / $1,022.27	Professional		$853.23	$853.23	$1,022.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,120.90 / $3,327.66 / $3,327.66	Facility		$1,120.90	$3,327.66	$3,327.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,488.79 / $3,488.79 / $5,254.20	Professional		$3,488.79	$3,488.79	$5,254.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $420.34 / $700.56 / $1,025.54	Facility		$420.34	$700.56	$1,025.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $662.09 / $700.56 / $1,268.01	Professional		$662.09	$700.56	$1,268.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $455.36 / $847.68 / $2,451.96	Professional		$455.36	$847.68	$2,451.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $420.34 / $700.56 / $1,193.08	Facility		$420.34	$700.56	$1,193.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $700.56 / $875.70 / $1,225.98	Professional		$700.56	$875.70	$1,225.98
United Facility/Professional Professional Modifier Low / Median / High Price $294.24 / $294.24 / $500.20	Professional		$294.24	$294.24	$500.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $335.33 / $335.33 / $700.56	Professional		$335.33	$335.33	$700.56