Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.67 / $113.06 / $187.34	Professional		$97.67	$113.06	$187.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.35 / $125.49 / $150.44	Professional		$105.35	$125.49	$150.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.10 / $135.10 / $135.10	Professional		$135.10	$135.10	$135.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $943.35 / $943.35 / $1,285.43	Professional		$943.35	$943.35	$1,285.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.77 / $224.68 / $310.52	Professional		$138.77	$224.68	$310.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $153.57 / $192.19 / $307.14	Professional		$153.57	$192.19	$307.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.10 / $135.10 / $135.10	Professional		$135.10	$135.10	$135.10
United Facility/Professional Professional Modifier Low / Median / High Price $150.16 / $189.83 / $303.48	Professional		$150.16	$189.83	$303.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.33 / $138.77 / $199.58	Professional		$125.33	$138.77	$199.58