Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $33.11 / $52.48	Professional		$16.98	$33.11	$52.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $26.92 / $28.18	Professional		$14.79	$26.92	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $41.69 / $79.43	Professional		$20.42	$41.69	$79.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $338.84	Professional		$323.59	$323.59	$338.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $30.90 / $60.26	Professional		$16.98	$30.90	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $29.51 / $33.11	Professional		$14.45	$29.51	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $128.82	Professional		$56.23	$67.61	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $40.74 / $77.62	Professional		$20.42	$40.74	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $34.67 / $61.66	Professional		$17.78	$34.67	$61.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $34.67 / $34.67	Professional		$33.11	$34.67	$34.67