Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.00 / $3,570.00 / $10,893.00	Facility		$524.00	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.78 / $368.42 / $568.38	Professional		$331.78	$368.42	$568.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.44 / $2,024.00 / $4,619.00	Facility		$408.44	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.83 / $453.77 / $704.69	Professional		$353.83	$453.77	$704.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,619.00	Facility		$55.00	$55.00	$2,619.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,489.84 / $3,489.84 / $3,489.84	Professional		$3,489.84	$3,489.84	$3,489.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $334.68 / $398.19 / $802.84	Facility		$334.68	$398.19	$802.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $343.24 / $343.24 / $343.24	Professional		$343.24	$343.24	$343.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $398.10 / $398.10 / $453.50	Professional		$398.10	$398.10	$453.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $334.68 / $413.32 / $949.96	Facility		$334.68	$413.32	$949.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $366.06 / $457.48 / $691.29	Professional		$366.06	$457.48	$691.29
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 $290.75 / $396.83 / $614.75	Professional		$290.75	$396.83	$614.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $322.87 / $322.87 / $435.87	Professional		$322.87	$322.87	$435.87