Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.90 / $1,065.51 / $2,962.77	Facility		$364.90	$1,065.51	$2,962.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.58 / $401.39 / $492.62	Professional		$340.58	$401.39	$492.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.93 / $1,427.35 / $3,224.46	Facility		$391.93	$1,427.35	$3,224.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.72 / $740.72 / $887.47	Professional		$740.72	$740.72	$887.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $973.07 / $2,888.81 / $2,888.81	Facility		$973.07	$2,888.81	$2,888.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,028.69 / $3,028.69 / $4,561.28	Professional		$3,028.69	$3,028.69	$4,561.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $364.90 / $608.16 / $906.17	Facility		$364.90	$608.16	$906.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $608.16 / $608.16 / $760.21	Professional		$608.16	$608.16	$760.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $547.35 / $760.21 / $1,368.38	Professional		$547.35	$760.21	$1,368.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $364.90 / $608.16 / $1,837.11	Facility		$364.90	$608.16	$1,837.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $574.66 / $668.99 / $1,064.30	Professional		$574.66	$668.99	$1,064.30
United Facility/Professional Facility Modifier Low / Median / High Price $218.94 / $255.43 / $608.16	Facility		$218.94	$255.43	$608.16
United Facility/Professional Professional Modifier Low / Median / High Price $255.43 / $255.43 / $374.63	Professional		$255.43	$255.43	$374.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $113.15 / $113.15 / $608.16	Professional		$113.15	$113.15	$608.16