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 $291.54 / $402.04 / $464.11	Professional		$291.54	$402.04	$464.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,013.76 / $3,687.68 / $3,793.60	Facility		$3,013.76	$3,687.68	$3,793.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,898.00 / $2,980.40 / $3,472.73	Professional		$2,898.00	$2,980.40	$3,472.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $345.60 / $428.97 / $843.51	Facility		$345.60	$428.97	$843.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $384.00 / $384.00	Professional		$384.00	$384.00	$384.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $527.10	Professional		$7.00	$7.00	$527.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $366.39 / $431.05 / $961.12	Facility		$366.39	$431.05	$961.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $554.47 / $1,028.16	Professional		$384.00	$554.47	$1,028.16
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 $353.39 / $479.11 / $750.96	Professional		$353.39	$479.11	$750.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $172.08 / $172.08 / $232.31	Professional		$172.08	$172.08	$232.31