Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.88 / $124.37 / $172.68	Professional		$87.88	$124.37	$172.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.49 / $127.47 / $206.78	Professional		$88.49	$127.47	$206.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.14 / $154.26 / $252.88	Professional		$106.14	$154.26	$252.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $712.08 / $1,178.09 / $1,771.63	Professional		$712.08	$1,178.09	$1,771.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $177.03 / $245.12	Professional		$124.05	$177.03	$245.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $345.10 / $345.10 / $345.10	Professional		$345.10	$345.10	$345.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.86 / $158.68 / $266.82	Professional		$107.86	$158.68	$266.82
United Facility/Professional Professional Modifier Low / Median / High Price $99.88 / $136.04 / $220.25	Professional		$99.88	$136.04	$220.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $130.86 / $184.49	Professional		$116.23	$130.86	$184.49