Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $194.98	Professional		$89.13	$128.82	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $107.15	Professional		$32.36	$43.65	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $194.98	Professional		$89.13	$128.82	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $263.03	Professional		$104.71	$154.88	$263.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,778.28	Professional		$1,174.90	$1,174.90	$1,778.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $251.19	Professional		$93.33	$134.90	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $109.65	Professional		$32.36	$33.11	$109.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $263.03 / $354.81	Professional		$3.02	$263.03	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $257.04	Professional		$102.33	$154.88	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $190.55	Professional		$83.18	$117.49	$190.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $141.25 / $141.25	Professional		$134.90	$141.25	$141.25