Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $749.81 / $957.63 / $1,535.13	Professional		$749.81	$957.63	$1,535.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.42 / $784.09 / $1,278.29	Professional		$630.42	$784.09	$1,278.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $862.01 / $1,236.03 / $1,932.94	Professional		$862.01	$1,236.03	$1,932.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,173.00 / $10,316.10 / $10,316.10	Professional		$10,173.00	$10,316.10	$10,316.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,015.09 / $1,297.35 / $1,729.82	Professional		$1,015.09	$1,297.35	$1,729.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,048.50 / $1,048.50 / $1,048.50	Professional		$1,048.50	$1,048.50	$1,048.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $895.03 / $1,327.96 / $2,032.62	Professional		$895.03	$1,327.96	$2,032.62
United Facility/Professional Professional Modifier Low / Median / High Price $847.38 / $1,133.38 / $1,763.19	Professional		$847.38	$1,133.38	$1,763.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $820.19 / $930.38 / $1,301.52	Professional		$820.19	$930.38	$1,301.52