Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $72.44 / $120.23	Professional		$44.67	$72.44	$120.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $74.13 / $112.20	Professional		$45.71	$74.13	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $151.36	Professional		$53.70	$87.10	$151.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $691.83	Professional		$588.84	$691.83	$691.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $74.13 / $151.36	Professional		$46.77	$74.13	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $69.18	Professional		$32.36	$40.74	$69.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $169.82 / $316.23	Professional		$147.91	$169.82	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $151.36	Professional		$52.48	$85.11	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $67.61 / $109.65	Professional		$42.66	$67.61	$109.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10