Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.48 / $131.91 / $298.80	Professional		$102.48	$131.91	$298.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.83 / $207.52 / $277.89	Professional		$139.83	$207.52	$277.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.07 / $209.70 / $373.45	Professional		$142.07	$209.70	$373.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,529.71 / $1,575.61 / $1,575.61	Professional		$1,529.71	$1,575.61	$1,575.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $159.87 / $272.20 / $357.10	Professional		$159.87	$272.20	$357.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.63 / $137.27 / $283.89	Professional		$85.63	$137.27	$283.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.93 / $214.38 / $393.71	Professional		$141.93	$214.38	$393.71
United Facility/Professional Professional Modifier Low / Median / High Price $165.34 / $201.63 / $316.22	Professional		$165.34	$201.63	$316.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $140.80 / $159.87 / $224.26	Professional		$140.80	$159.87	$224.26