Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,553.00 / $10,893.00	Facility		$921.00	$3,553.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.08 / $1,149.58 / $1,621.83	Professional		$963.08	$1,149.58	$1,621.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,024.00 / $4,619.00	Facility		$900.00	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $919.81 / $1,441.98 / $2,187.41	Professional		$919.81	$1,441.98	$2,187.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,136.79	Facility		$55.00	$55.00	$10,136.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,966.80 / $8,606.87 / $10,065.90	Professional		$7,966.80	$8,606.87	$10,065.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.84 / $1,241.55 / $2,593.65	Facility		$1,071.84	$1,241.55	$2,593.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,055.45 / $1,055.45 / $1,055.45	Professional		$1,055.45	$1,055.45	$1,055.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $1,449.00	Professional		$7.00	$7.00	$1,449.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.84 / $1,269.98 / $2,621.29	Facility		$1,071.84	$1,269.98	$2,621.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $902.13 / $1,441.98 / $2,163.82	Professional		$902.13	$1,441.98	$2,163.82
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
United Facility/Professional Professional Modifier Low / Median / High Price $901.60 / $1,191.75 / $1,841.80	Professional		$901.60	$1,191.75	$1,841.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,254.61 / $1,254.61 / $1,693.74	Professional		$1,254.61	$1,254.61	$1,693.74