Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $2,454.71	Professional		$933.25	$1,174.90	$2,454.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,548.82	Professional		$912.01	$1,148.15	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,290.87	Professional		$1,000.00	$1,412.54	$2,290.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Professional		$9,120.11	$9,120.11	$9,120.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,659.59	Professional		$933.25	$1,230.27	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $125.89 / $851.14	Professional		$32.36	$125.89	$851.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,995.26	Professional		$1,122.02	$1,122.02	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,412.54 / $2,290.87	Professional		$954.99	$1,412.54	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,819.70	Professional		$870.96	$1,148.15	$1,819.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $933.25 / $933.25	Professional		$870.96	$933.25	$933.25