Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.72 / $142.43 / $338.55	Professional		$110.72	$142.43	$338.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $116.47 / $173.56	Professional		$37.40	$116.47	$173.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $205.24 / $367.19	Professional		$128.90	$205.24	$367.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,419.41 / $1,461.99 / $1,461.99	Professional		$1,419.41	$1,461.99	$1,461.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $149.36 / $257.77 / $386.03	Professional		$149.36	$257.77	$386.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.30 / $140.29 / $294.60	Professional		$52.30	$140.29	$294.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.81 / $219.00 / $367.19	Professional		$136.81	$219.00	$367.19
United Facility/Professional Professional Modifier Low / Median / High Price $151.63 / $202.18 / $308.60	Professional		$151.63	$202.18	$308.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $133.34 / $149.36 / $212.22	Professional		$133.34	$149.36	$212.22