Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,682.00 / $10,893.00	Facility		$945.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,135.99 / $3,135.99 / $5,017.58	Professional		$3,135.99	$3,135.99	$5,017.58
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 $34,351.37 / $42,198.16 / $43,590.69	Professional		$34,351.37	$42,198.16	$43,590.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,135.99 / $3,135.99 / $7,549.01	Facility		$3,135.99	$3,135.99	$7,549.01
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 $3,135.99 / $3,135.99 / $8,901.19	Facility		$3,135.99	$3,135.99	$8,901.19
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 $2,711.34 / $2,711.34 / $3,660.31	Professional		$2,711.34	$2,711.34	$3,660.31