Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $416.87	Professional		$371.54	$371.54	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $12,022.64	Professional		$10,000.00	$10,000.00	$12,022.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $389.05 / $8,709.64	Facility		$371.54	$389.05	$8,709.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $416.87	Professional		$371.54	$371.54	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $6,309.57	Professional		$602.56	$812.83	$6,309.57
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 $371.54 / $407.38 / $8,709.64	Facility		$371.54	$407.38	$8,709.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $79.43	Professional		$60.26	$60.26	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $467.74	Professional		$380.19	$380.19	$467.74