Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.09 / $97.31	Professional		$54.95	$67.09	$97.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $81.09 / $81.09	Professional		$81.09	$81.09	$81.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $60.41 / $111.40	Professional		$17.35	$60.41	$111.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.76 / $85.97 / $131.35	Professional		$59.76	$85.97	$131.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $447.41 / $447.41 / $738.90	Professional		$447.41	$447.41	$738.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $119.10 / $153.13	Professional		$85.07	$119.10	$153.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $82.69 / $135.71	Professional		$21.21	$82.69	$135.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.64 / $92.37 / $169.82	Professional		$64.64	$92.37	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $51.50 / $68.40 / $105.51	Professional		$51.50	$68.40	$105.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $81.09 / $115.49	Professional		$72.59	$81.09	$115.49