Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $81.31 / $363.75	Professional		$40.42	$81.31	$363.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.99 / $198.99 / $198.99	Professional		$198.99	$198.99	$198.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.83 / $238.96 / $368.47	Professional		$189.83	$238.96	$368.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $258.61 / $435.45	Professional		$75.56	$258.61	$435.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,201.97 / $1,201.97 / $1,981.28	Professional		$1,201.97	$1,201.97	$1,981.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $260.39 / $317.00 / $421.16	Professional		$260.39	$317.00	$421.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.75 / $272.69 / $449.66	Professional		$223.75	$272.69	$449.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $272.68 / $542.07	Professional		$80.95	$272.68	$542.07
United Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $42.82 / $79.09	Professional		$30.77	$42.82	$79.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $213.97 / $307.76	Professional		$163.80	$213.97	$307.76