Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.75 / $169.25 / $286.93	Facility		$152.75	$169.25	$286.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $154.36 / $188.98	Professional		$73.12	$154.36	$188.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $400.35 / $1,246.93 / $1,246.93	Facility		$400.35	$1,246.93	$1,246.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,260.90 / $1,283.58 / $1,982.10	Professional		$1,260.90	$1,283.58	$1,982.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.31 / $155.16 / $383.44	Facility		$70.31	$155.16	$383.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $219.11 / $219.11 / $219.11	Professional		$219.11	$219.11	$219.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $33.29 / $33.29	Professional		$33.29	$33.29	$33.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.31 / $155.81 / $383.44	Facility		$70.31	$155.81	$383.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $280.99 / $2,400,000.00	Professional		$104.98	$280.99	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Professional		$500.00	$500.00	$500.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $122.00 / $164.70	Professional		$122.00	$122.00	$164.70