Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,162.28 / $7,943.28	Facility		$912.01	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,445.44 / $1,659.59	Professional		$977.24	$1,445.44	$1,659.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Facility		$10,715.19	$10,715.19	$10,715.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $12,589.25 / $12,589.25	Professional		$11,220.18	$12,589.25	$12,589.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,238.72 / $6,025.60	Facility		$851.14	$2,238.72	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,454.71	Professional		$1,047.13	$1,445.44	$2,454.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $3,162.28	Facility		$1,412.54	$1,698.24	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,511.89 / $10,471.29	Facility		$436.52	$2,511.89	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,511.89	Professional		$1,174.90	$1,621.81	$2,511.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,584.89 / $1,584.89	Professional		$1,479.11	$1,584.89	$1,584.89