Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.35 / $172.56 / $281.37	Professional		$131.35	$172.56	$281.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $168.28 / $168.28 / $184.92	Professional		$168.28	$168.28	$184.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.06 / $188.72 / $310.18	Professional		$137.06	$188.72	$310.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.53 / $212.86 / $313.58	Professional		$152.53	$212.86	$313.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,063.76 / $1,419.28 / $1,671.68	Professional		$1,063.76	$1,419.28	$1,671.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $187.12 / $249.78 / $336.25	Professional		$187.12	$249.78	$336.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $217.10 / $217.10 / $217.10	Professional		$217.10	$217.10	$217.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.57 / $218.32 / $366.99	Professional		$153.57	$218.32	$366.99
United Facility/Professional Professional Modifier Low / Median / High Price $126.67 / $180.45 / $288.72	Professional		$126.67	$180.45	$288.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $163.99 / $184.92 / $259.67	Professional		$163.99	$184.92	$259.67