Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $89.13	Professional		$51.29	$67.61	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $60.26 / $60.26	Professional		$53.70	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $72.44 / $109.65	Professional		$33.88	$72.44	$109.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $630.96	Professional		$446.68	$630.96	$630.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $112.20	Professional		$52.48	$72.44	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $61.66	Professional		$32.36	$33.11	$61.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $158.49	Professional		$67.61	$123.03	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $72.44 / $128.82	Professional		$45.71	$72.44	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $56.23 / $81.28	Professional		$28.18	$56.23	$81.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $70.79 / $74.13	Professional		$46.77	$70.79	$74.13