Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $3,682.00 / $12,040.00	Facility		$714.00	$3,682.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.33 / $485.26 / $559.61	Professional		$268.33	$485.26	$559.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,056.64 / $2,516.80 / $2,589.44	Facility		$2,056.64	$2,516.80	$2,589.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,197.25 / $2,197.25 / $2,369.63	Professional		$2,197.25	$2,197.25	$2,369.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $282.79 / $485.26 / $1,028.75	Facility		$282.79	$485.26	$1,028.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.06 / $262.06 / $262.06	Professional		$262.06	$262.06	$262.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $359.80	Professional		$7.00	$7.00	$359.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $283.94 / $496.77 / $1,102.61	Facility		$283.94	$496.77	$1,102.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $262.06 / $676.33 / $1,254.11	Professional		$262.06	$676.33	$1,254.11
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,583.00	Facility		$385.00	$1,970.00	$8,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.85 / $566.73 / $915.38	Professional		$403.85	$566.73	$915.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $172.08 / $172.08 / $232.31	Professional		$172.08	$172.08	$232.31