Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.82 / $51.38 / $96.94	Facility		$42.82	$51.38	$96.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.82 / $48.92 / $62.13	Professional		$42.82	$48.92	$62.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.00 / $68.81 / $85.00	Facility		$67.00	$68.81	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.13 / $67.04 / $114.51	Professional		$62.13	$67.04	$114.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $101.53 / $381.00 / $381.00	Facility		$101.53	$381.00	$381.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $342.83 / $342.83 / $446.93	Professional		$342.83	$342.83	$446.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.68 / $64.56 / $86.01	Facility		$46.68	$64.56	$86.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.30 / $54.82 / $92.65	Professional		$48.30	$54.82	$92.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $101.80 / $122.60	Professional		$27.40	$101.80	$122.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.68 / $64.56 / $86.01	Facility		$46.68	$64.56	$86.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $1,800,000.00 / $2,400,000.00	Professional		$65.91	$1,800,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $77.48 / $81.36	Professional		$73.09	$77.48	$81.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.13 / $62.13 / $86.98	Professional		$62.13	$62.13	$86.98