Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $14.40 / $22.25	Professional		$11.41	$14.40	$22.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $15.79 / $15.79	Professional		$13.99	$15.79	$15.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $24.94 / $102.90	Professional		$13.33	$24.94	$102.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $143.87 / $143.87 / $158.85	Professional		$143.87	$143.87	$158.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $25.33 / $42.00	Professional		$20.64	$25.33	$42.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $19.60 / $37.76	Professional		$14.70	$19.60	$37.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $27.15 / $105.33	Professional		$13.33	$27.15	$105.33
United Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $19.88 / $27.71	Professional		$16.80	$19.88	$27.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $18.19 / $80.00	Professional		$16.01	$18.19	$80.00