Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.34 / $72.19 / $156.41	Professional		$56.34	$72.19	$156.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $55.31 / $55.31	Professional		$55.31	$55.31	$55.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $51.78 / $110.78	Professional		$19.04	$51.78	$110.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.83 / $111.06 / $216.55	Professional		$68.83	$111.06	$216.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $781.40 / $821.86 / $844.38	Professional		$781.40	$821.86	$844.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.27 / $102.38 / $157.61	Professional		$65.27	$102.38	$157.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $62.64 / $211.30	Professional		$24.52	$62.64	$211.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.77 / $113.29 / $204.22	Professional		$68.77	$113.29	$204.22
United Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $93.94 / $191.45	Professional		$60.06	$93.94	$191.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.25 / $65.27 / $92.64	Professional		$58.25	$65.27	$92.64