Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $218.78	Professional		$100.00	$147.91	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $223.87	Professional		$97.72	$144.54	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $295.12	Professional		$109.65	$165.96	$295.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $1,288.25	Professional		$1,096.48	$1,288.25	$1,288.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $275.42	Professional		$102.33	$154.88	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $87.10	Professional		$32.36	$33.11	$87.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $316.23 / $407.38	Professional		$5.01	$316.23	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $295.12	Professional		$109.65	$169.82	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $138.04 / $229.09	Professional		$87.10	$138.04	$229.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $158.49 / $158.49	Professional		$147.91	$158.49	$158.49