Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.26 / $202.82 / $339.30	Professional		$117.26	$202.82	$339.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.93 / $229.97 / $396.26	Professional		$112.93	$229.97	$396.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.97 / $255.69 / $404.79	Professional		$129.97	$255.69	$404.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $994.46 / $1,892.24 / $2,227.42	Professional		$994.46	$1,892.24	$2,227.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.01 / $281.45 / $447.76	Professional		$156.01	$281.45	$447.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $189.00 / $189.00	Professional		$189.00	$189.00	$189.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.38 / $263.89 / $459.42	Professional		$132.38	$263.89	$459.42
United Facility/Professional Professional Modifier Low / Median / High Price $194.34 / $268.02 / $417.57	Professional		$194.34	$268.02	$417.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.37 / $244.34 / $346.84	Professional		$218.37	$244.34	$346.84