Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $43.57 / $57.45	Professional		$34.95	$43.57	$57.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $38.28 / $38.28	Professional		$33.92	$38.28	$38.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $48.47 / $74.03	Professional		$25.51	$48.47	$74.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $294.54 / $294.54 / $422.70	Professional		$294.54	$294.54	$422.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.98 / $62.66 / $86.76	Professional		$53.98	$62.66	$86.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.69 / $60.88 / $116.75	Professional		$44.69	$60.88	$116.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $49.71 / $91.22	Professional		$30.04	$49.71	$91.22
United Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $38.34 / $53.75	Professional		$22.55	$38.34	$53.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $45.54 / $65.45	Professional		$41.14	$45.54	$65.45