Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.66 / $1,455.82 / $2,334.82	Professional		$698.66	$1,455.82	$2,334.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $669.79 / $1,305.78 / $2,342.59	Professional		$669.79	$1,305.78	$2,342.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $825.42 / $1,616.61 / $3,094.71	Professional		$825.42	$1,616.61	$3,094.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,071.84 / $11,690.80 / $13,588.28	Professional		$6,071.84	$11,690.80	$13,588.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $944.45 / $1,806.36 / $2,827.35	Professional		$944.45	$1,806.36	$2,827.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,013.30 / $1,013.30 / $1,013.30	Professional		$1,013.30	$1,013.30	$1,013.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $832.92 / $1,689.48 / $3,203.34	Professional		$832.92	$1,689.48	$3,203.34
United Facility/Professional Professional Modifier Low / Median / High Price $1,367.00 / $1,874.22 / $2,924.85	Professional		$1,367.00	$1,874.22	$2,924.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,340.59 / $1,504.28 / $2,131.04	Professional		$1,340.59	$1,504.28	$2,131.04