Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.62 / $198.02 / $317.24	Professional		$124.62	$198.02	$317.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.61 / $255.00 / $428.40	Professional		$129.61	$255.00	$428.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.58 / $248.97 / $419.44	Professional		$143.58	$248.97	$419.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $953.83 / $1,806.72 / $2,112.60	Professional		$953.83	$1,806.72	$2,112.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.26 / $267.93 / $438.43	Professional		$165.26	$267.93	$438.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $247.70 / $682.00	Professional		$5.00	$247.70	$682.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.10 / $276.05 / $502.06	Professional		$151.10	$276.05	$502.06
United Facility/Professional Professional Modifier Low / Median / High Price $177.39 / $242.52 / $393.85	Professional		$177.39	$242.52	$393.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $207.88 / $243.08 / $329.89	Professional		$207.88	$243.08	$329.89