Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $136.69 / $203.71	Professional		$108.31	$136.69	$203.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.02 / $108.26 / $151.56	Professional		$92.02	$108.26	$151.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.92 / $118.26 / $198.87	Professional		$100.92	$118.26	$198.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.20 / $171.52 / $270.88	Professional		$118.20	$171.52	$270.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $886.02 / $886.02 / $1,000.50	Professional		$886.02	$886.02	$1,000.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.31 / $171.27 / $227.48	Professional		$131.31	$171.27	$227.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $118.87 / $156.16 / $305.47	Professional		$118.87	$156.16	$305.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.49 / $183.37 / $316.68	Professional		$121.49	$183.37	$316.68
United Facility/Professional Professional Modifier Low / Median / High Price $112.59 / $149.81 / $232.61	Professional		$112.59	$149.81	$232.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.45 / $113.86 / $154.93	Professional		$97.45	$113.86	$154.93