Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $208.93	Professional		$97.72	$138.04	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $104.71 / $190.55	Professional		$33.88	$104.71	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $426.58	Professional		$131.83	$208.93	$426.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $239.88	Professional		$100.00	$144.54	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.11 / $107.15	Professional		$30.90	$33.11	$107.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $128.82 / $295.12	Professional		$39.81	$128.82	$295.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $363.08	Professional		$131.83	$199.53	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $338.84	Professional		$117.49	$169.82	$338.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $162.18	Professional		$134.90	$134.90	$162.18