Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.79 / $84.75 / $116.57	Professional		$73.79	$84.75	$116.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $78.98 / $78.98	Professional		$78.98	$78.98	$78.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $85.94 / $132.52	Professional		$65.59	$85.94	$132.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.69 / $103.96 / $161.94	Professional		$78.69	$103.96	$161.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $534.04 / $534.04 / $664.58	Professional		$534.04	$534.04	$664.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.10 / $140.38 / $177.94	Professional		$94.10	$140.38	$177.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.80 / $104.19 / $149.44	Professional		$77.80	$104.19	$149.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.89 / $123.53 / $218.94	Professional		$81.89	$123.53	$218.94
United Facility/Professional Professional Modifier Low / Median / High Price $76.16 / $101.18 / $158.36	Professional		$76.16	$101.18	$158.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.47 / $80.63 / $109.03	Professional		$68.47	$80.63	$109.03