Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.34 / $290.62 / $402.20	Professional		$194.34	$290.62	$402.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.55 / $281.86 / $472.26	Professional		$182.55	$281.86	$472.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.41 / $337.28 / $558.00	Professional		$213.41	$337.28	$558.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,437.60 / $2,165.28 / $2,513.69	Professional		$1,437.60	$2,165.28	$2,513.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $249.78 / $357.38 / $523.44	Professional		$249.78	$357.38	$523.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $278.30 / $819.70	Professional		$5.00	$278.30	$819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $225.07 / $367.50 / $655.08	Professional		$225.07	$367.50	$655.08
United Facility/Professional Professional Modifier Low / Median / High Price $245.70 / $328.09 / $528.69	Professional		$245.70	$328.09	$528.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $248.19 / $290.45 / $394.32	Professional		$248.19	$290.45	$394.32