Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.01 / $133.55 / $184.32	Professional		$109.01	$133.55	$184.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.94 / $127.97 / $141.94	Professional		$103.94	$127.97	$141.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.73 / $171.70 / $283.70	Professional		$124.73	$171.70	$283.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,418.00 / $1,418.00 / $1,418.00	Professional		$1,418.00	$1,418.00	$1,418.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $146.34 / $185.74 / $253.85	Professional		$146.34	$185.74	$253.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $222.60 / $222.60 / $222.60	Professional		$222.60	$222.60	$222.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.79 / $181.17 / $301.89	Professional		$130.79	$181.17	$301.89
United Facility/Professional Professional Modifier Low / Median / High Price $113.28 / $160.41 / $249.70	Professional		$113.28	$160.41	$249.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $136.82 / $190.71	Professional		$120.36	$136.82	$190.71