Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $446.68	Professional		$169.82	$239.88	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $389.05	Professional		$181.97	$251.19	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $457.09	Professional		$208.93	$302.00	$457.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $2,290.87	Professional		$1,995.26	$2,290.87	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $489.78	Professional		$173.78	$263.03	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $323.59 / $562.34	Professional		$177.83	$323.59	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $467.74	Professional		$213.80	$309.03	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $363.08	Professional		$173.78	$245.47	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03