Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.33 / $134.91 / $190.13	Professional		$98.33	$134.91	$190.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.61 / $129.61 / $129.61	Professional		$129.61	$129.61	$129.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.70 / $135.88 / $216.82	Professional		$98.70	$135.88	$216.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.99 / $166.21 / $266.36	Professional		$115.99	$166.21	$266.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $788.16 / $1,055.35 / $1,229.18	Professional		$788.16	$1,055.35	$1,229.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $137.50 / $184.60 / $248.50	Professional		$137.50	$184.60	$248.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $183.90 / $183.90 / $183.90	Professional		$183.90	$183.90	$183.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.75 / $169.37 / $283.30	Professional		$117.75	$169.37	$283.30
United Facility/Professional Professional Modifier Low / Median / High Price $109.10 / $150.65 / $234.97	Professional		$109.10	$150.65	$234.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $121.19 / $136.43 / $192.36	Professional		$121.19	$136.43	$192.36