Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $214.17 / $491.85	Professional		$36.36	$214.17	$491.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.95 / $901.95 / $901.95	Professional		$901.95	$901.95	$901.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $486.65 / $837.04 / $2,262.09	Facility		$486.65	$837.04	$2,262.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,225.65 / $3,375.08 / $3,407.99	Professional		$2,225.65	$3,375.08	$3,407.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.90 / $225.89 / $454.04	Facility		$77.90	$225.89	$454.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $52.52 / $65.62	Professional		$45.59	$52.52	$65.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.29 / $225.89 / $454.04	Facility		$178.29	$225.89	$454.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.69 / $65.69 / $901.95	Professional		$65.69	$65.69	$901.95
United Facility/Professional Professional Modifier Low / Median / High Price $59.20 / $74.59 / $130.55	Professional		$59.20	$74.59	$130.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.53 / $53.53 / $72.27	Professional		$53.53	$53.53	$72.27