Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.55 / $181.08 / $299.42	Professional		$104.55	$181.08	$299.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.74 / $174.74 / $174.74	Professional		$174.74	$174.74	$174.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.65 / $191.26 / $317.83	Professional		$103.65	$191.26	$317.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.02 / $198.50 / $359.31	Professional		$108.02	$198.50	$359.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $818.77 / $1,494.45 / $1,574.78	Professional		$818.77	$1,494.45	$1,574.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.40 / $179.84 / $339.93	Professional		$112.40	$179.84	$339.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.13 / $168.88 / $211.88	Professional		$77.13	$168.88	$211.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $215.41 / $378.48	Professional		$113.09	$215.41	$378.48
United Facility/Professional Professional Modifier Low / Median / High Price $186.77 / $248.66 / $359.84	Professional		$186.77	$248.66	$359.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.97 / $174.74 / $244.64	Professional		$155.97	$174.74	$244.64