Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.86 / $144.36 / $199.27	Professional		$103.86	$144.36	$199.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.72 / $155.44 / $242.14	Professional		$102.72	$155.44	$242.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.27 / $180.74 / $277.17	Professional		$122.27	$180.74	$277.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $815.60 / $1,232.93 / $1,392.15	Professional		$815.60	$1,232.93	$1,392.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $142.97 / $204.56 / $288.79	Professional		$142.97	$204.56	$288.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $242.80 / $242.80 / $242.80	Professional		$242.80	$242.80	$242.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.62 / $185.25 / $306.13	Professional		$124.62	$185.25	$306.13
United Facility/Professional Professional Modifier Low / Median / High Price $114.14 / $156.27 / $252.06	Professional		$114.14	$156.27	$252.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.93 / $154.88 / $216.74	Professional		$136.93	$154.88	$216.74