Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.36 / $1,300.45 / $3,616.07	Facility		$445.36	$1,300.45	$3,616.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.67 / $467.63 / $593.82	Professional		$415.67	$467.63	$593.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.51 / $1,742.09 / $3,934.01	Facility		$488.51	$1,742.09	$3,934.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $904.45 / $904.45 / $1,083.64	Professional		$904.45	$904.45	$1,083.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,187.63 / $3,525.78 / $3,525.78	Facility		$1,187.63	$3,525.78	$3,525.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,696.50 / $3,696.50 / $5,567.03	Professional		$3,696.50	$3,696.50	$5,567.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $445.36 / $742.27 / $1,105.98	Facility		$445.36	$742.27	$1,105.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $742.27 / $742.27 / $927.84	Professional		$742.27	$742.27	$927.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $668.04 / $927.84 / $1,670.11	Professional		$668.04	$927.84	$1,670.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $445.36 / $742.27 / $2,242.65	Facility		$445.36	$742.27	$2,242.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $701.52 / $816.50 / $1,298.97	Professional		$701.52	$816.50	$1,298.97
United Facility/Professional Professional Modifier Low / Median / High Price $311.75 / $311.75 / $457.24	Professional		$311.75	$311.75	$457.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $681.72 / $699.20 / $742.27	Professional		$681.72	$699.20	$742.27