Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.95 / $141.93 / $190.79	Professional		$103.95	$141.93	$190.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.77 / $140.36 / $236.39	Professional		$94.77	$140.36	$236.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.59 / $166.69 / $281.85	Professional		$109.59	$166.69	$281.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $753.92 / $1,087.92 / $1,275.53	Professional		$753.92	$1,087.92	$1,275.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $132.04 / $188.92 / $264.33	Professional		$132.04	$188.92	$264.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $150.40 / $150.40 / $150.40	Professional		$150.40	$150.40	$150.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.34 / $172.27 / $303.57	Professional		$111.34	$172.27	$303.57
United Facility/Professional Professional Modifier Low / Median / High Price $121.32 / $168.32 / $257.00	Professional		$121.32	$168.32	$257.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.33 / $140.72 / $198.92	Professional		$125.33	$140.72	$198.92