Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.63 / $216.28 / $298.94	Professional		$133.63	$216.28	$298.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.59 / $219.67 / $376.94	Professional		$134.59	$219.67	$376.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.29 / $250.45 / $421.12	Professional		$153.29	$250.45	$421.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,044.96 / $1,646.24 / $1,930.80	Professional		$1,044.96	$1,646.24	$1,930.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $182.92 / $261.72 / $400.00	Professional		$182.92	$261.72	$400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $178.20 / $178.20 / $178.20	Professional		$178.20	$178.20	$178.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.46 / $261.93 / $446.99	Professional		$157.46	$261.93	$446.99
United Facility/Professional Professional Modifier Low / Median / High Price $189.11 / $257.56 / $397.03	Professional		$189.11	$257.56	$397.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.66 / $212.65 / $301.17	Professional		$189.66	$212.65	$301.17