Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $151.36	Professional		$97.72	$112.20	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $173.78	Professional		$93.33	$123.03	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $218.78	Professional		$102.33	$138.04	$218.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $870.96	Professional		$691.83	$870.96	$870.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $158.49	Professional		$93.33	$112.20	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $169.82 / $316.23	Professional		$89.13	$169.82	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $269.15	Professional		$93.33	$141.25	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $186.21	Professional		$89.13	$120.23	$186.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $89.13 / $107.15	Professional		$85.11	$89.13	$107.15