Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $218.78 / $363.08	Professional		$128.82	$218.78	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $218.78 / $363.08	Professional		$125.89	$218.78	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $251.19 / $436.52	Professional		$141.25	$251.19	$436.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $2,089.30	Professional		$1,778.28	$2,089.30	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $446.68	Professional		$131.83	$234.42	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $112.20	Professional		$32.36	$33.11	$112.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $489.78 / $676.08	Professional		$5.01	$489.78	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $257.04 / $436.52	Professional		$141.25	$257.04	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $346.74	Professional		$114.82	$199.53	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $251.19 / $251.19	Professional		$234.42	$251.19	$251.19