Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.83 / $361.83 / $401.02	Facility		$361.83	$361.83	$401.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.79 / $365.67 / $484.27	Professional		$83.79	$365.67	$484.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $999.96 / $3,113.61 / $3,113.61	Facility		$999.96	$3,113.61	$3,113.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,148.10 / $3,202.34 / $4,949.70	Professional		$3,148.10	$3,202.34	$4,949.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.20 / $361.83 / $926.48	Facility		$74.20	$361.83	$926.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $547.32 / $547.32 / $547.32	Professional		$547.32	$547.32	$547.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $69.80 / $69.80	Professional		$69.80	$69.80	$69.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.20 / $369.07 / $926.48	Facility		$74.20	$369.07	$926.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.23 / $547.32 / $2,250,000.00	Professional		$119.23	$547.32	$2,250,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $143.00 / $193.05	Professional		$143.00	$143.00	$193.05