Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.80 / $119.71 / $177.30	Professional		$99.80	$119.71	$177.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.38 / $112.98 / $161.74	Professional		$95.38	$112.98	$161.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.93 / $138.00 / $218.81	Professional		$102.93	$138.00	$218.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $882.75 / $888.45 / $888.45	Professional		$882.75	$888.45	$888.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.21 / $150.55 / $186.89	Professional		$114.21	$150.55	$186.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.59 / $187.10 / $263.10	Professional		$141.59	$187.10	$263.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.77 / $150.93 / $268.70	Professional		$107.77	$150.93	$268.70
United Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $114.61 / $175.49	Professional		$85.26	$114.61	$175.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.62 / $103.84 / $140.37	Professional		$88.62	$103.84	$140.37