Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.67 / $130.97 / $178.48	Professional		$113.67	$130.97	$178.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.81 / $123.89 / $191.65	Professional		$91.81	$123.89	$191.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.99 / $165.94 / $266.83	Professional		$125.99	$165.94	$266.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $997.88 / $1,156.83 / $1,195.00	Professional		$997.88	$1,156.83	$1,195.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.51 / $180.14 / $211.93	Professional		$129.51	$180.14	$211.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $281.60 / $281.60 / $281.60	Professional		$281.60	$281.60	$281.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.99 / $167.69 / $274.89	Professional		$125.99	$167.69	$274.89
United Facility/Professional Professional Modifier Low / Median / High Price $101.34 / $138.75 / $220.66	Professional		$101.34	$138.75	$220.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.49 / $115.15 / $159.37	Professional		$100.49	$115.15	$159.37