Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $74.13	Professional		$46.77	$54.95	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $56.23 / $89.13	Professional		$45.71	$56.23	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $107.15	Professional		$51.29	$67.61	$107.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $467.74	Professional		$346.74	$467.74	$467.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $58.88 / $104.71	Professional		$48.98	$58.88	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $46.77	Professional		$32.36	$33.11	$46.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $107.15 / $144.54	Professional		$56.23	$107.15	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $123.03	Professional		$51.29	$67.61	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $89.13	Professional		$42.66	$57.54	$89.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $72.44	Professional		$46.77	$60.26	$72.44