Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.71 / $69.02 / $117.45	Professional		$44.71	$69.02	$117.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $56.50	Professional		$56.50	$56.50	$56.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.03 / $76.33 / $109.14	Professional		$47.03	$76.33	$109.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $86.76 / $147.21	Professional		$55.46	$86.76	$147.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,641.00 / $1,687.42 / $1,687.42	Professional		$1,641.00	$1,687.42	$1,687.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.01 / $94.45 / $150.12	Professional		$66.01	$94.45	$150.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.84 / $95.00 / $194.31	Professional		$56.84	$95.00	$194.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $91.01 / $152.68	Professional		$56.50	$91.01	$152.68
United Facility/Professional Professional Modifier Low / Median / High Price $59.60 / $80.73 / $125.78	Professional		$59.60	$80.73	$125.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.78 / $80.52 / $113.54	Professional		$71.78	$80.52	$113.54