Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.07 / $101.61 / $192.77	Professional		$89.07	$101.61	$192.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $157.47 / $157.47 / $157.47	Professional		$157.47	$157.47	$157.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.95 / $113.93 / $127.40	Professional		$104.95	$113.93	$127.40
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 / $196.42 / $297.73	Professional		$112.48	$196.42	$297.73
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 / $149.43 / $224.64	Professional		$114.91	$149.43	$224.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $112.48 / $161.77	Professional		$101.60	$112.48	$161.77