Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $3,162.28 / $5,623.41	Professional		$741.31	$3,162.28	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $3,019.95 / $5,248.07	Professional		$724.44	$3,019.95	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $2,570.40 / $7,079.46	Professional		$870.96	$2,570.40	$7,079.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $33,113.11 / $33,113.11	Professional		$28,183.83	$33,113.11	$33,113.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $3,235.94 / $6,918.31	Professional		$741.31	$3,235.94	$6,918.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $120.23 / $3,235.94	Professional		$32.36	$120.23	$3,235.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $2,570.40 / $7,244.36	Professional		$831.76	$2,570.40	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $2,290.87 / $5,370.32	Professional		$724.44	$2,290.87	$5,370.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,981.07 / $3,981.07	Professional		$3,801.89	$3,981.07	$3,981.07