Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.65 / $2,340.82 / $6,508.91	Facility		$801.65	$2,340.82	$6,508.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.21 / $881.82 / $1,135.68	Professional		$748.21	$881.82	$1,135.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $879.32 / $3,135.75 / $7,083.03	Facility		$879.32	$3,135.75	$7,083.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,627.23 / $1,627.23 / $1,949.60	Professional		$1,627.23	$1,627.23	$1,949.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,137.73 / $6,346.43 / $6,346.43	Facility		$2,137.73	$6,346.43	$6,346.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,653.73 / $6,653.73 / $10,020.68	Professional		$6,653.73	$6,653.73	$10,020.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $801.65 / $1,336.09 / $1,990.77	Facility		$801.65	$1,336.09	$1,990.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,336.09 / $1,336.09 / $1,670.11	Professional		$1,336.09	$1,336.09	$1,670.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.48 / $1,670.11 / $3,006.20	Professional		$1,202.48	$1,670.11	$3,006.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $801.65 / $1,336.09 / $4,036.76	Facility		$801.65	$1,336.09	$4,036.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,262.74 / $1,469.70 / $2,338.16	Professional		$1,262.74	$1,469.70	$2,338.16
United Facility/Professional Professional Modifier Low / Median / High Price $561.16 / $561.16 / $918.56	Professional		$561.16	$561.16	$918.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $692.09 / $699.20 / $1,336.09	Professional		$692.09	$699.20	$1,336.09