Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,148.15 / $3,630.78	Facility		$478.63	$1,148.15	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $870.96	Professional		$478.63	$602.56	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $616.60 / $3,548.13	Facility		$512.86	$616.60	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,148.15	Professional		$977.24	$977.24	$1,148.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $6,025.60 / $6,025.60	Professional		$3,981.07	$6,025.60	$6,025.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $794.33 / $1,479.11	Facility		$602.56	$794.33	$1,479.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $954.99	Professional		$478.63	$645.65	$954.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $851.14 / $1,698.24	Professional		$794.33	$851.14	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $794.33 / $2,187.76	Facility		$478.63	$794.33	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $831.76 / $1,479.11	Professional		$758.58	$831.76	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $549.54	Professional		$331.13	$331.13	$549.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $794.33 / $794.33	Professional		$309.03	$794.33	$794.33