Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.94 / $109.96 / $144.38	Professional		$90.94	$109.96	$144.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $124.96 / $176.20	Professional		$94.02	$124.96	$176.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.67 / $130.63 / $208.70	Professional		$100.67	$130.63	$208.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $695.50 / $695.50 / $861.83	Professional		$695.50	$695.50	$861.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.28 / $175.46 / $198.10	Professional		$120.28	$175.46	$198.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $96.17 / $130.34 / $190.66	Professional		$96.17	$130.34	$190.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.48 / $151.11 / $287.27	Professional		$105.48	$151.11	$287.27
United Facility/Professional Professional Modifier Low / Median / High Price $86.82 / $119.74 / $187.21	Professional		$86.82	$119.74	$187.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.51 / $102.77 / $138.91	Professional		$87.51	$102.77	$138.91