Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $10,893.00	Facility		$969.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,620.73 / $2,947.95 / $3,950.98	Professional		$2,620.73	$2,947.95	$3,950.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,420.46 / $3,346.84 / $4,486.82	Professional		$2,420.46	$3,346.84	$4,486.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $62,517.63	Facility		$55.00	$55.00	$62,517.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,716.88 / $19,998.16 / $25,004.85	Professional		$18,716.88	$19,998.16	$25,004.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,788.00 / $3,375.86 / $6,088.64	Facility		$2,788.00	$3,375.86	$6,088.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,351.00 / $2,351.00 / $3,123.81	Professional		$2,351.00	$2,351.00	$3,123.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,631.70 / $4,631.70 / $4,631.70	Professional		$4,631.70	$4,631.70	$4,631.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,846.81 / $3,375.86 / $7,156.82	Facility		$2,846.81	$3,375.86	$7,156.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,420.46 / $3,346.84 / $4,147.74	Professional		$2,420.46	$3,346.84	$4,147.74
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,966.97 / $2,656.22 / $4,232.92	Professional		$1,966.97	$2,656.22	$4,232.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,123.81 / $4,190.60 / $4,258.97	Professional		$3,123.81	$4,190.60	$4,258.97