Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.08 / $241.00 / $371.01	Professional		$148.08	$241.00	$371.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.35 / $237.40 / $357.42	Professional		$146.35	$237.40	$357.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.92 / $270.75 / $445.63	Professional		$173.92	$270.75	$445.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,151.20 / $1,831.20 / $2,145.60	Professional		$1,151.20	$1,831.20	$2,145.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $201.42 / $288.19 / $444.83	Professional		$201.42	$288.19	$444.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $278.49 / $451.26	Professional		$195.00	$278.49	$451.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.93 / $291.64 / $489.23	Professional		$175.93	$291.64	$489.23
United Facility/Professional Professional Modifier Low / Median / High Price $199.49 / $265.98 / $427.43	Professional		$199.49	$265.98	$427.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $210.92 / $237.06 / $334.67	Professional		$210.92	$237.06	$334.67