Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $36.31 / $83.18	Professional		$23.99	$36.31	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $371.54	Professional		$39.81	$39.81	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $81.28	Professional		$41.69	$41.69	$81.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,949.84	Professional		$741.31	$741.31	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.02 / $87.10	Professional		$25.12	$38.02	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $776.25	Professional		$69.18	$89.13	$776.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $208.93	Professional		$42.66	$42.66	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $45.71 / $229.09	Professional		$31.62	$45.71	$229.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $46.77 / $54.95	Professional		$43.65	$46.77	$54.95