Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.27 / $581.28 / $862.73	Professional		$79.27	$581.28	$862.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.89 / $636.99 / $1,274.11	Professional		$91.89	$636.99	$1,274.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,322.73 / $4,448.24 / $5,244.98	Professional		$2,322.73	$4,448.24	$5,244.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.18 / $661.80 / $1,082.95	Professional		$102.18	$661.80	$1,082.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,012.10 / $1,012.10 / $1,012.10	Professional		$1,012.10	$1,012.10	$1,012.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.35 / $669.14 / $1,293.89	Professional		$93.35	$669.14	$1,293.89
United Facility/Professional Professional Modifier Low / Median / High Price $593.34 / $837.24 / $1,293.92	Professional		$593.34	$837.24	$1,293.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $513.48 / $571.40 / $817.06	Professional		$513.48	$571.40	$817.06