Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.56 / $1,238.54 / $1,673.34	Professional		$174.56	$1,238.54	$1,673.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $969.26 / $969.26 / $1,104.74	Professional		$969.26	$969.26	$1,104.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.66 / $997.27 / $1,626.01	Professional		$163.66	$997.27	$1,626.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.77 / $1,136.05 / $2,454.92	Professional		$201.77	$1,136.05	$2,454.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,245.31 / $8,185.83 / $9,587.93	Professional		$4,245.31	$8,185.83	$9,587.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.70 / $1,425.52 / $1,918.96	Professional		$223.70	$1,425.52	$1,918.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $170.76 / $1,002.17 / $2,124.61	Professional		$170.76	$1,002.17	$2,124.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $201.77 / $1,250.65 / $2,486.42	Professional		$201.77	$1,250.65	$2,486.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,139.11 / $1,531.30 / $2,454.58	Professional		$1,139.11	$1,531.30	$2,454.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $935.87 / $1,042.21 / $1,487.28	Professional		$935.87	$1,042.21	$1,487.28