Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $109.65 / $302.00	Professional		$39.81	$109.65	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $234.42 / $281.84	Professional		$114.82	$234.42	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $239.88 / $281.84	Professional		$134.90	$239.88	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $263.03 / $537.03	Professional		$70.79	$263.03	$537.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $1,995.26	Professional		$1,202.26	$1,995.26	$1,995.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $112.20 / $398.11	Professional		$39.81	$112.20	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $194.98	Professional		$32.36	$33.11	$194.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $398.11 / $524.81	Professional		$223.87	$398.11	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $257.04 / $549.54	Professional		$77.62	$257.04	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $44.67 / $95.50	Professional		$32.36	$44.67	$95.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $245.47 / $288.40	Professional		$234.42	$245.47	$288.40