Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.50 / $142.88 / $203.36	Professional		$119.50	$142.88	$203.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.73 / $151.55 / $172.68	Professional		$119.73	$151.55	$172.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.99 / $176.85 / $278.43	Professional		$133.99	$176.85	$278.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,654.97 / $2,654.97 / $2,654.97	Professional		$2,654.97	$2,654.97	$2,654.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.19 / $195.00 / $229.41	Professional		$140.19	$195.00	$229.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $203.20 / $203.20 / $203.20	Professional		$203.20	$203.20	$203.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.87 / $179.02 / $298.73	Professional		$135.87	$179.02	$298.73
United Facility/Professional Professional Modifier Low / Median / High Price $108.10 / $147.68 / $228.23	Professional		$108.10	$147.68	$228.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.77 / $124.07 / $171.98	Professional		$108.77	$124.07	$171.98