Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $870.96 / $2,754.23	Facility		$363.08	$870.96	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $660.69	Professional		$363.08	$457.09	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $467.74 / $2,691.53	Facility		$398.11	$467.74	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $891.25	Professional		$741.31	$741.31	$891.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,570.88 / $4,570.88	Professional		$3,019.95	$4,570.88	$4,570.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $602.56 / $1,122.02	Facility		$436.52	$602.56	$1,122.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $741.31	Professional		$363.08	$489.78	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $660.69 / $1,288.25	Professional		$602.56	$660.69	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $602.56 / $1,698.24	Facility		$363.08	$602.56	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $645.65 / $1,148.15	Professional		$79.43	$645.65	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $257.04 / $602.56	Facility		$218.78	$257.04	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $416.87	Professional		$257.04	$257.04	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $602.56 / $602.56	Professional		$109.65	$602.56	$602.56