Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $104.76 / $181.83	Professional		$74.31	$104.76	$181.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $107.05 / $161.79	Professional		$74.56	$107.05	$161.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.04 / $136.74 / $211.57	Professional		$92.04	$136.74	$211.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $626.55 / $917.60 / $1,091.48	Professional		$626.55	$917.60	$1,091.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.01 / $158.83 / $222.88	Professional		$111.01	$158.83	$222.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.97 / $136.80 / $237.32	Professional		$84.97	$136.80	$237.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.68 / $142.94 / $229.41	Professional		$93.68	$142.94	$229.41
United Facility/Professional Professional Modifier Low / Median / High Price $91.53 / $122.71 / $191.00	Professional		$91.53	$122.71	$191.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.56 / $120.00 / $168.57	Professional		$106.56	$120.00	$168.57