Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $234.42	Professional		$117.49	$147.91	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $128.82 / $165.96	Professional		$120.23	$128.82	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $309.03	Professional		$131.83	$173.78	$309.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $208.93	Professional		$125.89	$158.49	$208.93
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 $6.03 / $263.03 / $323.59	Professional		$6.03	$263.03	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $302.00	Professional		$131.83	$177.83	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $229.09	Professional		$107.15	$147.91	$229.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $117.49 / $117.49	Professional		$109.65	$117.49	$117.49