Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $213.80 / $354.81	Professional		$131.83	$213.80	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $213.80	Professional		$194.98	$194.98	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $346.74	Professional		$131.83	$208.93	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $436.52	Professional		$151.36	$251.19	$436.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $1,949.84	Professional		$1,659.59	$1,949.84	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $229.09 / $426.58	Professional		$134.90	$229.09	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $501.19 / $645.65	Professional		$5.01	$501.19	$645.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $436.52	Professional		$151.36	$257.04	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $346.74	Professional		$125.89	$204.17	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $234.42 / $234.42	Professional		$223.87	$234.42	$234.42