Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $5,011.87	Professional		$3,162.28	$3,162.28	$5,011.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $56.23	Facility		$54.95	$56.23	$56.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $34,673.69 / $43,651.58 / $43,651.58	Professional		$34,673.69	$43,651.58	$43,651.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,311.31 / $7,585.78	Facility		$3,162.28	$3,311.31	$7,585.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $4,073.80	Professional		$3,162.28	$3,162.28	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $2,754.23	Professional		$407.38	$478.63	$2,754.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,311.31 / $7,585.78	Facility		$3,162.28	$3,311.31	$7,585.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,290.87 / $10,000.00	Facility		$407.38	$2,290.87	$10,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,691.53 / $3,388.44	Professional		$2,570.40	$2,691.53	$3,388.44