Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.78 / $101.61 / $157.72	Professional		$87.78	$101.61	$157.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.68 / $113.45 / $127.38	Professional		$104.68	$113.45	$127.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $109.51 / $109.51	Professional		$109.51	$109.51	$109.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $847.87 / $847.87 / $1,042.13	Professional		$847.87	$847.87	$1,042.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.48 / $182.13 / $279.06	Professional		$112.48	$182.13	$279.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $124.47 / $157.47 / $248.94	Professional		$124.47	$157.47	$248.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $109.51 / $109.51	Professional		$109.51	$109.51	$109.51
United Facility/Professional Professional Modifier Low / Median / High Price $114.91 / $150.82 / $225.63	Professional		$114.91	$150.82	$225.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $112.48 / $161.77	Professional		$101.60	$112.48	$161.77