Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $91.20 / $177.83	Professional		$46.77	$91.20	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $83.18 / $131.83	Professional		$46.77	$83.18	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $104.71 / $199.53	Professional		$57.54	$104.71	$199.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $870.96	Professional		$724.44	$870.96	$870.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $91.20 / $181.97	Professional		$48.98	$91.20	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $89.13	Professional		$32.36	$33.11	$89.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $186.21	Professional		$85.11	$85.11	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $102.33 / $194.98	Professional		$56.23	$102.33	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $77.62 / $134.90	Professional		$46.77	$77.62	$134.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71