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 $660.69 / $660.69 / $1,096.48	Professional		$660.69	$660.69	$1,096.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,819.70 / $6,918.31	Facility		$660.69	$1,819.70	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,778.28	Professional		$660.69	$660.69	$1,778.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $1,445.44	Facility		$660.69	$660.69	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49