Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.91 / $35.48	Professional		$19.95	$22.91	$35.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $24.55 / $37.15	Professional		$19.50	$24.55	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $69.18 / $120.23	Professional		$31.62	$69.18	$120.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $208.93	Professional		$204.17	$204.17	$208.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $41.69	Professional		$19.95	$23.99	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $32.36 / $33.11	Professional		$18.20	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $45.71 / $66.07	Professional		$23.44	$45.71	$66.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $47.86 / $63.10	Professional		$31.62	$47.86	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $29.51 / $47.86	Professional		$19.50	$29.51	$47.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $23.44 / $28.18	Professional		$22.39	$23.44	$28.18