Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $179.29 / $286.64	Professional		$146.27	$179.29	$286.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.55 / $116.55 / $116.55	Professional		$116.55	$116.55	$116.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.28 / $154.26 / $235.41	Professional		$121.28	$154.26	$235.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.73 / $150.97 / $602.83	Professional		$102.73	$150.97	$602.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,308.32 / $1,347.57 / $1,347.57	Professional		$1,308.32	$1,347.57	$1,347.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.32 / $179.04 / $246.67	Professional		$125.32	$179.04	$246.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $127.97 / $158.78 / $258.86	Professional		$127.97	$158.78	$258.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.32 / $271.70 / $366.53	Professional		$125.32	$271.70	$366.53
United Facility/Professional Professional Modifier Low / Median / High Price $130.94 / $185.39 / $314.69	Professional		$130.94	$185.39	$314.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.32 / $175.45 / $199.00	Professional		$125.32	$175.45	$199.00