Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.91 / $91.93 / $146.55	Professional		$46.91	$91.93	$146.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $83.03 / $138.36	Professional		$47.40	$83.03	$138.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $104.45 / $193.33	Professional		$56.89	$104.45	$193.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $395.47 / $731.04 / $867.08	Professional		$395.47	$731.04	$867.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $114.20 / $178.74	Professional		$64.75	$114.20	$178.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.80 / $84.80 / $84.80	Professional		$84.80	$84.80	$84.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $107.25 / $199.75	Professional		$57.43	$107.25	$199.75
United Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $102.93 / $160.83	Professional		$75.52	$102.93	$160.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.75 / $95.35 / $134.19	Professional		$84.75	$95.35	$134.19