Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.12 / $2,213.71 / $6,155.40	Facility		$758.12	$2,213.71	$6,155.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.58 / $833.93 / $1,074.00	Professional		$707.58	$833.93	$1,074.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $814.26 / $2,965.43 / $6,698.62	Facility		$814.26	$2,965.43	$6,698.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,538.80 / $1,538.80 / $1,843.65	Professional		$1,538.80	$1,538.80	$1,843.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,021.65 / $6,001.77 / $6,001.77	Facility		$2,021.65	$6,001.77	$6,001.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,292.38 / $6,292.38 / $9,476.48	Professional		$6,292.38	$6,292.38	$9,476.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.12 / $1,263.53 / $1,882.66	Facility		$758.12	$1,263.53	$1,882.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,263.53 / $1,263.53 / $1,579.41	Professional		$1,263.53	$1,263.53	$1,579.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,137.18 / $1,579.41 / $2,842.94	Professional		$1,137.18	$1,579.41	$2,842.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.12 / $1,263.53 / $3,816.90	Facility		$758.12	$1,263.53	$3,816.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,193.96 / $1,389.88 / $2,211.17	Professional		$1,193.96	$1,389.88	$2,211.17
United Facility/Professional Professional Modifier Low / Median / High Price $530.67 / $530.67 / $758.12	Professional		$530.67	$530.67	$758.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $7.49 / $1,263.53	Professional		$7.49	$7.49	$1,263.53