Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.96 / $83.48 / $136.47	Professional		$46.96	$83.48	$136.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.38 / $93.37 / $165.06	Professional		$47.38	$93.37	$165.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.56 / $105.21 / $178.27	Professional		$57.56	$105.21	$178.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $451.71 / $782.75 / $1,010.85	Professional		$451.71	$782.75	$1,010.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.33 / $130.58 / $189.94	Professional		$67.33	$130.58	$189.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $115.12 / $228.82	Professional		$52.07	$115.12	$228.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.32 / $110.97 / $193.10	Professional		$58.32	$110.97	$193.10
United Facility/Professional Professional Modifier Low / Median / High Price $85.98 / $105.70 / $150.75	Professional		$85.98	$105.70	$150.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.32 / $114.41 / $161.43	Professional		$101.32	$114.41	$161.43