Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.47 / $129.55 / $165.54	Professional		$117.47	$129.55	$165.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.88 / $134.54 / $225.94	Professional		$105.88	$134.54	$225.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.75 / $159.87 / $248.29	Professional		$122.75	$159.87	$248.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $954.75 / $1,700.00 / $1,700.00	Professional		$954.75	$1,700.00	$1,700.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $146.76 / $169.34 / $203.20	Professional		$146.76	$169.34	$203.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.71 / $154.71 / $416.55	Professional		$100.71	$154.71	$416.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.75 / $167.48 / $273.77	Professional		$122.75	$167.48	$273.77
United Facility/Professional Professional Modifier Low / Median / High Price $97.96 / $130.82 / $203.08	Professional		$97.96	$130.82	$203.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.35 / $110.36 / $152.93	Professional		$96.35	$110.36	$152.93