Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,570.00 / $10,893.00	Facility		$945.00	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,652.17 / $1,652.17 / $2,726.08	Professional		$1,652.17	$1,652.17	$2,726.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,277.00 / $4,619.00	Facility		$900.00	$2,277.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $581.00 / $784.00	Professional		$350.00	$581.00	$784.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,651.88 / $3,651.88 / $3,651.88	Professional		$3,651.88	$3,651.88	$3,651.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,652.17 / $1,652.17 / $4,689.52	Facility		$1,652.17	$1,652.17	$4,689.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $7.00	Professional		$7.00	$7.00	$7.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,652.17 / $1,652.17 / $4,689.52	Facility		$1,652.17	$1,652.17	$4,689.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.00 / $581.00 / $771.75	Professional		$371.00	$581.00	$771.75
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
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,150.40 / $1,150.40 / $1,553.04	Professional		$1,150.40	$1,150.40	$1,553.04