Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.19 / $203.10 / $296.52	Professional		$107.19	$203.10	$296.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.50 / $204.77 / $383.84	Professional		$110.50	$204.77	$383.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.70 / $234.02 / $405.28	Professional		$125.70	$234.02	$405.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $863.60 / $1,636.64 / $1,914.90	Professional		$863.60	$1,636.64	$1,914.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $242.66 / $393.77	Professional		$150.54	$242.66	$393.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $166.80 / $584.79	Professional		$5.00	$166.80	$584.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $254.39 / $462.79	Professional		$133.72	$254.39	$462.79
United Facility/Professional Professional Modifier Low / Median / High Price $179.01 / $239.42 / $365.87	Professional		$179.01	$239.42	$365.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $188.28 / $220.25 / $299.27	Professional		$188.28	$220.25	$299.27