Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.44 / $124.25 / $203.49	Professional		$38.44	$124.25	$203.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.56 / $110.72 / $209.59	Professional		$37.56	$110.72	$209.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.16 / $132.00 / $280.04	Professional		$44.16	$132.00	$280.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $586.75 / $1,132.80 / $1,331.63	Professional		$586.75	$1,132.80	$1,331.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $168.30 / $275.39	Professional		$51.30	$168.30	$275.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $74.40 / $451.40	Professional		$5.00	$74.40	$451.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.65 / $152.72 / $353.01	Professional		$46.65	$152.72	$353.01
United Facility/Professional Professional Modifier Low / Median / High Price $120.04 / $160.60 / $253.75	Professional		$120.04	$160.60	$253.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.58 / $152.74 / $207.75	Professional		$130.58	$152.74	$207.75