Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.57 / $217.67 / $312.95	Professional		$130.57	$217.67	$312.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $211.30 / $387.87	Professional		$122.50	$211.30	$387.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.72 / $253.70 / $410.54	Professional		$142.72	$253.70	$410.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,118.00 / $1,772.32 / $2,080.58	Professional		$1,118.00	$1,772.32	$2,080.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $170.30 / $243.66 / $430.85	Professional		$170.30	$243.66	$430.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $222.20 / $222.20 / $222.20	Professional		$222.20	$222.20	$222.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.33 / $263.50 / $437.67	Professional		$145.33	$263.50	$437.67
United Facility/Professional Professional Modifier Low / Median / High Price $185.76 / $258.44 / $402.45	Professional		$185.76	$258.44	$402.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.29 / $229.10 / $324.33	Professional		$204.29	$229.10	$324.33