Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.91 / $112.42 / $184.91	Professional		$59.91	$112.42	$184.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.37 / $99.89 / $117.52	Professional		$44.37	$99.89	$117.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.04 / $140.65 / $251.74	Professional		$69.04	$140.65	$251.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $555.88 / $929.00 / $1,251.75	Professional		$555.88	$929.00	$1,251.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $147.71 / $271.33	Professional		$82.00	$147.71	$271.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.27 / $146.68 / $276.10	Professional		$62.27	$146.68	$276.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $156.00 / $304.05	Professional		$72.37	$156.00	$304.05
United Facility/Professional Professional Modifier Low / Median / High Price $121.84 / $159.76 / $256.73	Professional		$121.84	$159.76	$256.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.50 / $140.10 / $198.21	Professional		$124.50	$140.10	$198.21