Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.82 / $139.86 / $216.99	Professional		$120.82	$139.86	$216.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.55 / $156.65 / $175.89	Professional		$144.55	$156.65	$175.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.88 / $150.88 / $150.88	Professional		$150.88	$150.88	$150.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,166.83 / $1,166.83 / $1,436.55	Professional		$1,166.83	$1,166.83	$1,436.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.97 / $250.92 / $384.13	Professional		$154.97	$250.92	$384.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $171.46 / $216.96 / $342.92	Professional		$171.46	$216.96	$342.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.88 / $150.88 / $150.88	Professional		$150.88	$150.88	$150.88
United Facility/Professional Professional Modifier Low / Median / High Price $158.50 / $205.66 / $311.22	Professional		$158.50	$205.66	$311.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $154.97 / $222.83	Professional		$139.97	$154.97	$222.83