Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.10 / $69.95 / $115.48	Professional		$46.10	$69.95	$115.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $71.16 / $108.26	Professional		$45.48	$71.16	$108.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $84.97 / $138.99	Professional		$54.00	$84.97	$138.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $364.72 / $581.84 / $672.45	Professional		$364.72	$581.84	$672.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.08 / $90.25 / $139.16	Professional		$63.08	$90.25	$139.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $67.00 / $67.00	Professional		$67.00	$67.00	$67.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $89.14 / $147.49	Professional		$55.65	$89.14	$147.49
United Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $80.80 / $126.75	Professional		$60.55	$80.80	$126.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.54 / $74.75 / $105.80	Professional		$66.54	$74.75	$105.80