Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.47 / $230.62 / $311.38	Professional		$145.47	$230.62	$311.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $210.70 / $361.54	Professional		$134.90	$210.70	$361.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.20 / $256.13 / $447.40	Professional		$164.20	$256.13	$447.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,074.72 / $1,625.84 / $1,892.55	Professional		$1,074.72	$1,625.84	$1,892.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $187.12 / $267.73 / $382.66	Professional		$187.12	$267.73	$382.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $210.70 / $210.70 / $210.70	Professional		$210.70	$210.70	$210.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.69 / $268.85 / $478.97	Professional		$167.69	$268.85	$478.97
United Facility/Professional Professional Modifier Low / Median / High Price $210.29 / $293.47 / $480.33	Professional		$210.29	$293.47	$480.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.62 / $209.80 / $296.39	Professional		$186.62	$209.80	$296.39