Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.93 / $163.13 / $232.40	Professional		$134.93	$163.13	$232.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.60 / $207.75 / $326.11	Professional		$136.60	$207.75	$326.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,266.98 / $2,295.00 / $2,295.00	Professional		$1,266.98	$2,295.00	$2,295.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.91 / $216.41 / $268.33	Professional		$165.91	$216.41	$268.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.18 / $165.34 / $291.49	Professional		$138.18	$165.34	$291.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.53 / $222.64 / $391.95	Professional		$147.53	$222.64	$391.95
United Facility/Professional Professional Modifier Low / Median / High Price $137.51 / $182.27 / $295.10	Professional		$137.51	$182.27	$295.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.13 / $143.80 / $195.70	Professional		$123.13	$143.80	$195.70