Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $3,213.00 / $11,453.00	Facility		$748.00	$3,213.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.97 / $529.47 / $846.96	Professional		$433.97	$529.47	$846.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $598.53 / $598.53 / $598.53	Facility		$598.53	$598.53	$598.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.06 / $657.11 / $950.81	Professional		$479.06	$657.11	$950.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $4,754.80	Facility		$55.00	$2,000.00	$4,754.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,820.64 / $3,888.88 / $4,549.58	Professional		$3,820.64	$3,888.88	$4,549.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $464.68 / $579.16 / $923.63	Facility		$464.68	$579.16	$923.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $650.58 / $780.69 / $968.06	Professional		$650.58	$780.69	$968.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $579.60 / $579.60 / $579.60	Professional		$579.60	$579.60	$579.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $465.58 / $579.73 / $929.35	Facility		$465.58	$579.73	$929.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $493.15 / $683.55 / $1,033.83	Professional		$493.15	$683.55	$1,033.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $391.50 / $523.45 / $828.80	Professional		$391.50	$523.45	$828.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $444.20 / $502.72 / $701.27	Professional		$444.20	$502.72	$701.27