Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $181.97	Professional		$75.86	$109.65	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $162.18	Professional		$81.28	$117.49	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $229.09	Professional		$93.33	$138.04	$229.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $1,096.48	Professional		$912.01	$1,096.48	$1,096.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $245.47	Professional		$77.62	$114.82	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $67.61 / $107.15	Professional		$32.36	$67.61	$107.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $199.53 / $512.86	Professional		$109.65	$199.53	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $229.09	Professional		$89.13	$138.04	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $165.96	Professional		$72.44	$104.71	$165.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $141.25 / $141.25	Professional		$134.90	$141.25	$141.25