Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.40 / $90.65 / $134.88	Professional		$63.40	$90.65	$134.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $97.86 / $97.86	Professional		$97.86	$97.86	$97.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.86 / $89.86 / $89.86	Professional		$89.86	$89.86	$89.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.28 / $89.28 / $89.28	Professional		$89.28	$89.28	$89.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $853.35 / $996.49 / $1,036.34	Professional		$853.35	$996.49	$1,036.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $126.15 / $145.56 / $169.82	Professional		$126.15	$145.56	$169.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $214.20 / $214.20 / $214.20	Professional		$214.20	$214.20	$214.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.28 / $89.28 / $193.82	Professional		$89.28	$89.28	$193.82
United Facility/Professional Professional Modifier Low / Median / High Price $89.20 / $139.21 / $226.05	Professional		$89.20	$139.21	$226.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.82 / $91.69 / $131.69	Professional		$82.82	$91.69	$131.69