Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $22.85 / $32.08	Professional		$16.41	$22.85	$32.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $27.84 / $27.84	Professional		$23.66	$27.84	$27.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $36.99 / $102.90	Professional		$19.67	$36.99	$102.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $217.73 / $217.73 / $294.14	Professional		$217.73	$217.73	$294.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $44.58 / $64.00	Professional		$28.88	$44.58	$64.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $36.17 / $69.00	Professional		$27.70	$36.17	$69.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $42.00 / $105.33	Professional		$20.34	$42.00	$105.33
United Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $30.09 / $35.24	Professional		$23.42	$30.09	$35.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $32.90 / $80.00	Professional		$29.27	$32.90	$80.00