Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $323.59	Professional		$173.78	$218.78	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $295.12	Professional		$169.82	$213.80	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $416.87	Professional		$190.55	$251.19	$416.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,548.82 / $1,548.82	Professional		$1,348.96	$1,548.82	$1,548.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $309.03	Professional		$181.97	$234.42	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $416.87 / $512.86	Professional		$5.01	$416.87	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $416.87	Professional		$186.21	$257.04	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $331.13	Professional		$154.88	$213.80	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $169.82 / $169.82	Professional		$162.18	$169.82	$169.82