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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $108.92 / $108.92	Professional		$108.92	$108.92	$108.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $847.87 / $847.87 / $1,036.50	Professional		$847.87	$847.87	$1,036.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.87 / $181.14 / $279.06	Professional		$111.87	$181.14	$279.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.79 / $156.62 / $247.58	Professional		$123.79	$156.62	$247.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $108.92 / $108.92	Professional		$108.92	$108.92	$108.92
United Facility/Professional Professional Modifier Low / Median / High Price $121.72 / $153.72 / $228.23	Professional		$121.72	$153.72	$228.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.04 / $111.87 / $160.88	Professional		$101.04	$111.87	$160.88