Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $107.12 / $400.00	Professional		$42.10	$107.12	$400.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $206.38 / $206.38 / $206.38	Professional		$206.38	$206.38	$206.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.72 / $248.31 / $380.21	Professional		$191.72	$248.31	$380.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.25 / $271.33 / $456.87	Professional		$78.25	$271.33	$456.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,246.66 / $1,246.66 / $2,054.85	Professional		$1,246.66	$1,246.66	$2,054.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $270.07 / $328.78 / $436.80	Professional		$270.07	$328.78	$436.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $231.37 / $282.80 / $465.00	Professional		$231.37	$282.80	$465.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.84 / $282.81 / $570.60	Professional		$83.84	$282.81	$570.60
United Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $42.76 / $76.47	Professional		$30.59	$42.76	$76.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $221.92 / $319.19	Professional		$163.80	$221.92	$319.19