Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $38.02 / $40.74	Facility		$37.15	$38.02	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $60.26	Professional		$34.67	$42.66	$60.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $398.11	Professional		$302.00	$398.11	$398.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $57.54 / $97.72	Facility		$40.74	$57.54	$97.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $52.48	Professional		$34.67	$42.66	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $50.12	Professional		$30.20	$30.20	$50.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $58.88 / $93.33	Facility		$40.74	$58.88	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $74.13 / $79.43	Professional		$44.67	$74.13	$79.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $89.13	Professional		$67.61	$67.61	$89.13