Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.75 / $25.04 / $25.53	Facility		$23.75	$25.04	$25.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.16 / $23.75 / $27.20	Professional		$16.16	$23.75	$27.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.71 / $28.71 / $28.71	Facility		$28.71	$28.71	$28.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.48 / $118.48 / $118.48	Professional		$118.48	$118.48	$118.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $52.54 / $115.03 / $131.47	Facility		$52.54	$115.03	$131.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $153.85 / $153.85 / $212.70	Professional		$153.85	$153.85	$212.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $25.54 / $52.20	Facility		$19.80	$25.54	$52.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Professional		$23.65	$23.65	$23.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $33.40 / $33.40	Professional		$33.40	$33.40	$33.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.39 / $25.81 / $57.44	Facility		$20.39	$25.81	$57.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $32.61 / $118.48	Professional		$23.65	$32.61	$118.48
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $2,205.00 / $9,000.00	Facility		$350.00	$2,205.00	$9,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.78 / $27.28 / $43.92	Professional		$20.78	$27.28	$43.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $28.32 / $39.65	Professional		$28.32	$28.32	$39.65