Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $912.01	Professional		$537.03	$660.69	$912.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $354.81 / $676.08	Professional		$70.79	$354.81	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $1,288.25	Professional		$524.81	$794.33	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $977.24	Professional		$537.03	$660.69	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $416.87	Professional		$32.36	$33.11	$416.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $1,445.44 / $1,862.09	Professional		$302.00	$1,445.44	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $831.76 / $1,348.96	Professional		$524.81	$831.76	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $1,096.48	Professional		$524.81	$707.95	$1,096.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $616.60	Professional		$380.19	$512.86	$616.60