Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.94 / $198.61 / $291.62	Professional		$105.94	$198.61	$291.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $284.70 / $284.70 / $284.70	Professional		$284.70	$284.70	$284.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.86 / $190.32 / $283.72	Professional		$100.86	$190.32	$283.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.11 / $226.48 / $395.49	Professional		$122.11	$226.48	$395.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $845.00 / $1,558.80 / $1,829.40	Professional		$845.00	$1,558.80	$1,829.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.61 / $231.64 / $379.04	Professional		$139.61	$231.64	$379.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.21 / $231.09 / $496.88	Professional		$111.21	$231.09	$496.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.59 / $248.56 / $470.63	Professional		$128.59	$248.56	$470.63
United Facility/Professional Professional Modifier Low / Median / High Price $166.88 / $229.46 / $354.62	Professional		$166.88	$229.46	$354.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $179.72 / $210.05 / $284.95	Professional		$179.72	$210.05	$284.95