Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.11 / $125.81 / $180.38	Professional		$52.11	$125.81	$180.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $111.30 / $219.08	Professional		$32.34	$111.30	$219.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.69 / $160.82 / $278.77	Professional		$66.69	$160.82	$278.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $863.00 / $1,004.88 / $1,109.93	Professional		$863.00	$1,004.88	$1,109.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.91 / $210.82 / $375.90	Professional		$162.91	$210.82	$375.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $133.54 / $234.56	Professional		$26.14	$133.54	$234.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $177.06 / $370.64	Professional		$78.98	$177.06	$370.64
United Facility/Professional Professional Modifier Low / Median / High Price $111.63 / $160.56 / $241.44	Professional		$111.63	$160.56	$241.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.05 / $121.45 / $173.65	Professional		$109.05	$121.45	$173.65