Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.43 / $370.28 / $370.28	Facility		$69.43	$370.28	$370.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.87 / $76.83 / $78.68	Professional		$63.87	$76.83	$78.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.86 / $85.00 / $87.18	Facility		$84.86	$85.00	$87.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $85.86 / $107.63	Professional		$78.68	$85.86	$107.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $134.22 / $134.22	Facility		$100.00	$134.22	$134.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,758.86 / $1,758.86 / $1,758.86	Professional		$1,758.86	$1,758.86	$1,758.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.68 / $81.77 / $92.57	Facility		$78.68	$81.77	$92.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.43 / $69.43 / $69.43	Professional		$69.43	$69.43	$69.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $130.80 / $143.90 / $158.60	Professional		$130.80	$143.90	$158.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.68 / $81.77 / $89.95	Facility		$78.68	$81.77	$89.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $92.57 / $92.57	Professional		$92.57	$92.57	$92.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $80.23 / $112.32	Professional		$80.23	$80.23	$112.32