Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.74 / $256.75 / $394.75	Professional		$163.74	$256.75	$394.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.13 / $253.63 / $362.64	Professional		$162.13	$253.63	$362.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.27 / $296.35 / $482.58	Professional		$190.27	$296.35	$482.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,282.64 / $1,965.04 / $2,302.88	Professional		$1,282.64	$1,965.04	$2,302.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $224.55 / $321.27 / $477.43	Professional		$224.55	$321.27	$477.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $289.06 / $331.60 / $482.37	Professional		$289.06	$331.60	$482.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.31 / $312.27 / $524.78	Professional		$192.31	$312.27	$524.78
United Facility/Professional Professional Modifier Low / Median / High Price $214.10 / $285.47 / $450.67	Professional		$214.10	$285.47	$450.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $226.37 / $254.68 / $359.06	Professional		$226.37	$254.68	$359.06