Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.56 / $168.52 / $274.12	Professional		$137.56	$168.52	$274.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.22 / $176.00 / $261.20	Professional		$139.22	$176.00	$261.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.38 / $213.83 / $331.52	Professional		$159.38	$213.83	$331.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,134.88 / $1,359.20 / $1,575.60	Professional		$1,134.88	$1,359.20	$1,575.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $197.64 / $246.28 / $325.64	Professional		$197.64	$246.28	$325.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $182.24 / $304.05 / $596.52	Professional		$182.24	$304.05	$596.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.37 / $226.95 / $348.30	Professional		$161.37	$226.95	$348.30
United Facility/Professional Professional Modifier Low / Median / High Price $138.66 / $185.85 / $290.97	Professional		$138.66	$185.85	$290.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.69 / $175.33 / $247.28	Professional		$155.69	$175.33	$247.28