Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.57 / $156.54 / $238.09	Professional		$111.57	$156.54	$238.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.24 / $186.88 / $327.85	Professional		$113.24	$186.88	$327.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.80 / $197.37 / $300.36	Professional		$125.80	$197.37	$300.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $949.00 / $1,404.16 / $1,656.60	Professional		$949.00	$1,404.16	$1,656.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $153.47 / $219.59 / $332.85	Professional		$153.47	$219.59	$332.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $189.80 / $189.80 / $189.80	Professional		$189.80	$189.80	$189.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.71 / $199.88 / $339.36	Professional		$128.71	$199.88	$339.36
United Facility/Professional Professional Modifier Low / Median / High Price $125.62 / $173.27 / $286.99	Professional		$125.62	$173.27	$286.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.33 / $182.54 / $257.26	Professional		$162.33	$182.54	$257.26