Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.00 / $587.65 / $952.37	Professional		$383.00	$587.65	$952.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.62 / $554.47 / $799.46	Professional		$362.62	$554.47	$799.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.19 / $593.04 / $908.71	Professional		$400.19	$593.04	$908.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,604.00 / $4,474.16 / $4,966.20	Professional		$3,604.00	$4,474.16	$4,966.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $421.28 / $651.07 / $976.60	Professional		$421.28	$651.07	$976.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $370.57 / $634.55 / $1,330.20	Professional		$370.57	$634.55	$1,330.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $412.64 / $605.37 / $957.16	Professional		$412.64	$605.37	$957.16
United Facility/Professional Professional Modifier Low / Median / High Price $436.50 / $580.44 / $872.99	Professional		$436.50	$580.44	$872.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $490.29 / $551.53 / $778.77	Professional		$490.29	$551.53	$778.77