Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.31 / $210.65 / $300.42	Professional		$151.31	$210.65	$300.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.53 / $209.16 / $337.39	Professional		$146.53	$209.16	$337.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.35 / $242.81 / $404.45	Professional		$166.35	$242.81	$404.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,141.59 / $1,544.80 / $1,806.45	Professional		$1,141.59	$1,544.80	$1,806.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.75 / $270.80 / $374.96	Professional		$199.75	$270.80	$374.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $228.30 / $574.00	Professional		$5.00	$228.30	$574.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.05 / $267.68 / $470.35	Professional		$171.05	$267.68	$470.35
United Facility/Professional Professional Modifier Low / Median / High Price $172.91 / $231.16 / $359.19	Professional		$172.91	$231.16	$359.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.79 / $207.86 / $281.95	Professional		$177.79	$207.86	$281.95