Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.25 / $120.17 / $170.05	Professional		$100.25	$120.17	$170.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.95 / $125.25 / $187.47	Professional		$100.95	$125.25	$187.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.93 / $143.41 / $226.72	Professional		$106.93	$143.41	$226.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $779.72 / $779.72 / $949.58	Professional		$779.72	$779.72	$949.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $124.61 / $162.54 / $201.55	Professional		$124.61	$162.54	$201.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.55 / $143.85 / $262.00	Professional		$109.55	$143.85	$262.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.02 / $156.76 / $291.92	Professional		$110.02	$156.76	$291.92
United Facility/Professional Professional Modifier Low / Median / High Price $94.39 / $124.51 / $191.76	Professional		$94.39	$124.51	$191.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.48 / $108.05 / $147.00	Professional		$92.48	$108.05	$147.00