Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,236.00 / $7,513.00	Facility		$521.00	$2,236.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.02 / $236.30 / $385.47	Professional		$51.02	$236.30	$385.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $1,992.00 / $3,270.00	Facility		$60.26	$1,992.00	$3,270.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.71 / $216.71 / $216.71	Professional		$216.71	$216.71	$216.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $103.89 / $410.06 / $410.06	Facility		$103.89	$410.06	$410.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,055.58 / $1,055.58 / $1,055.58	Professional		$1,055.58	$1,055.58	$1,055.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.19 / $139.90 / $500.00	Facility		$45.19	$139.90	$500.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $43.88 / $44.09	Professional		$43.88	$43.88	$44.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.20 / $59.20 / $59.20	Professional		$59.20	$59.20	$59.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.95 / $236.30 / $500.96	Facility		$45.95	$236.30	$500.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $216.71 / $857.64	Professional		$43.88	$216.71	$857.64
United Facility/Professional Facility Modifier Low / Median / High Price $146.00 / $919.00 / $2,290.00	Facility		$146.00	$919.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.08 / $389.31 / $625.79	Professional		$276.08	$389.31	$625.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.09 / $61.06 / $344.52	Professional		$44.09	$61.06	$344.52