Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.76 / $211.06 / $326.91	Professional		$149.76	$211.06	$326.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.58 / $209.15 / $318.19	Professional		$147.58	$209.15	$318.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.64 / $255.48 / $394.09	Professional		$175.64	$255.48	$394.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,159.20 / $1,622.08 / $1,900.28	Professional		$1,159.20	$1,622.08	$1,900.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $203.10 / $284.69 / $394.18	Professional		$203.10	$284.69	$394.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $211.70 / $211.70 / $211.70	Professional		$211.70	$211.70	$211.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.33 / $267.47 / $428.20	Professional		$178.33	$267.47	$428.20
United Facility/Professional Professional Modifier Low / Median / High Price $172.69 / $230.25 / $356.89	Professional		$172.69	$230.25	$356.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.90 / $210.91 / $296.11	Professional		$186.90	$210.91	$296.11