Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.58 / $776.69 / $2,176.65	Facility		$292.58	$776.69	$2,176.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.25 / $292.58 / $367.95	Professional		$248.25	$292.58	$367.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.08 / $316.56 / $1,339.72	Facility		$280.08	$316.56	$1,339.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $539.78 / $539.78 / $646.72	Professional		$539.78	$539.78	$646.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $709.30 / $2,105.71 / $2,105.71	Facility		$709.30	$2,105.71	$2,105.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,207.67 / $2,207.67 / $3,324.83	Professional		$2,207.67	$2,207.67	$3,324.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $265.99 / $443.31 / $660.53	Facility		$265.99	$443.31	$660.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $443.31 / $443.31 / $554.14	Professional		$443.31	$443.31	$554.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $398.98 / $554.14 / $997.45	Professional		$398.98	$554.14	$997.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $265.99 / $424.74 / $754.99	Facility		$265.99	$424.74	$754.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $419.08 / $487.64 / $775.79	Professional		$419.08	$487.64	$775.79
United Facility/Professional Professional Modifier Low / Median / High Price $186.19 / $186.19 / $283.72	Professional		$186.19	$186.19	$283.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $11.33 / $443.31	Professional		$11.33	$11.33	$443.31