Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $129.36 / $214.40	Professional		$97.70	$129.36	$214.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.54 / $166.54 / $166.54	Professional		$166.54	$166.54	$166.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.08 / $135.04 / $197.47	Professional		$98.08	$135.04	$197.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.36 / $162.91 / $257.33	Professional		$114.36	$162.91	$257.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $765.12 / $1,044.24 / $1,234.80	Professional		$765.12	$1,044.24	$1,234.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $181.70 / $252.90	Professional		$134.97	$181.70	$252.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.40 / $153.38 / $266.26	Professional		$103.40	$153.38	$266.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.78 / $173.32 / $275.47	Professional		$115.78	$173.32	$275.47
United Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $150.97 / $231.64	Professional		$110.98	$150.97	$231.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.92 / $136.51 / $191.28	Professional		$120.92	$136.51	$191.28