Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,071.52 / $3,388.44	Facility		$446.68	$1,071.52	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $724.44	Professional		$446.68	$562.34	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,071.52	Professional		$912.01	$912.01	$1,071.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,623.41 / $5,623.41	Professional		$3,715.35	$5,623.41	$5,623.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $891.25 / $3,311.31	Facility		$489.78	$891.25	$3,311.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $741.31	Professional		$446.68	$562.34	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $794.33 / $1,584.89	Professional		$741.31	$794.33	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $1,288.25	Professional		$776.25	$933.25	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $446.68	Professional		$309.03	$309.03	$446.68