Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $954.99	Professional		$398.11	$588.84	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $870.96	Professional		$371.54	$562.34	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $977.24	Professional		$407.38	$602.56	$977.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,011.87 / $5,011.87	Professional		$4,570.88	$5,011.87	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $1,047.13	Professional		$398.11	$616.60	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $123.03 / $851.14	Professional		$32.36	$123.03	$851.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $977.24	Professional		$407.38	$602.56	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $741.31	Professional		$346.74	$489.78	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $630.96 / $630.96	Professional		$602.56	$630.96	$630.96