Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.86 / $113.02 / $186.46	Professional		$80.86	$113.02	$186.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.66 / $128.66 / $128.66	Professional		$128.66	$128.66	$128.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.44 / $115.41 / $175.34	Professional		$80.44	$115.41	$175.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.23 / $140.09 / $222.72	Professional		$94.23	$140.09	$222.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $632.48 / $918.72 / $1,090.28	Professional		$632.48	$918.72	$1,090.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.85 / $160.03 / $222.88	Professional		$111.85	$160.03	$222.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.65 / $136.83 / $236.82	Professional		$85.65	$136.83	$236.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.82 / $145.46 / $238.56	Professional		$97.82	$145.46	$238.56
United Facility/Professional Professional Modifier Low / Median / High Price $95.31 / $128.47 / $201.07	Professional		$95.31	$128.47	$201.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.56 / $120.01 / $168.64	Professional		$106.56	$120.01	$168.64