Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $39.84 / $63.96	Professional		$30.00	$39.84	$63.96
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.00 / $18.89 / $30.46	Professional	52	$15.00	$18.89	$30.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.97 / $37.72 / $58.18	Professional		$29.97	$37.72	$58.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.86 / $117.67 / $171.25	Professional		$94.86	$117.67	$171.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $507.19 / $542.50 / $542.50	Professional		$507.19	$542.50	$542.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.32 / $46.65 / $64.97	Professional		$38.32	$46.65	$64.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.95 / $40.14 / $64.40	Professional		$32.95	$40.14	$64.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.35 / $74.25 / $113.00	Professional		$44.35	$74.25	$113.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $40.83 / $87.12	Professional		$29.45	$40.83	$87.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.48 / $44.07 / $45.24	Professional		$31.48	$44.07	$45.24