Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.00 / $1,331.52 / $3,702.42	Facility		$456.00	$1,331.52	$3,702.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.60 / $501.60 / $646.00	Professional		$425.60	$501.60	$646.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.77 / $1,783.69 / $4,029.26	Facility		$489.77	$1,783.69	$4,029.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $925.90 / $925.90 / $1,109.33	Professional		$925.90	$925.90	$1,109.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $3,610.00 / $3,610.00	Facility		$1,216.00	$3,610.00	$3,610.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,784.80 / $3,784.80 / $5,700.00	Professional		$3,784.80	$3,784.80	$5,700.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $456.00 / $760.00 / $1,132.40	Facility		$456.00	$760.00	$1,132.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $760.00 / $950.00	Professional		$760.00	$760.00	$950.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $950.00 / $1,710.00	Professional		$684.00	$950.00	$1,710.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $456.00 / $760.00 / $2,296.39	Facility		$456.00	$760.00	$2,296.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $718.33 / $836.00 / $1,330.00	Professional		$718.33	$836.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $319.20 / $456.00	Professional		$319.20	$319.20	$456.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $168.13 / $199.37 / $760.00	Professional		$168.13	$199.37	$760.00