Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.14 / $65.86 / $90.60	Professional		$52.14	$65.86	$90.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.90 / $59.70 / $59.70	Professional		$52.90	$59.70	$59.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $72.29 / $109.79	Professional		$34.04	$72.29	$109.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $446.85 / $446.85 / $630.38	Professional		$446.85	$446.85	$630.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.43 / $93.35 / $129.26	Professional		$80.43	$93.35	$129.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $87.53 / $146.34	Professional		$65.70	$87.53	$146.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $74.33 / $129.41	Professional		$44.75	$74.33	$129.41
United Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $56.44 / $80.34	Professional		$28.50	$56.44	$80.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.29 / $67.84 / $94.99	Professional		$61.29	$67.84	$94.99