Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $139.60 / $281.18	Professional		$122.37	$139.60	$281.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.01 / $156.06 / $175.23	Professional		$144.01	$156.06	$175.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.07 / $152.07 / $152.07	Professional		$152.07	$152.07	$152.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,164.67 / $1,164.67 / $1,447.88	Professional		$1,164.67	$1,164.67	$1,447.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.19 / $252.89 / $383.41	Professional		$156.19	$252.89	$383.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $172.81 / $218.67 / $345.62	Professional		$172.81	$218.67	$345.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.07 / $152.07 / $152.07	Professional		$152.07	$152.07	$152.07
United Facility/Professional Professional Modifier Low / Median / High Price $157.35 / $214.08 / $319.08	Professional		$157.35	$214.08	$319.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.07 / $156.19 / $224.59	Professional		$141.07	$156.19	$224.59