Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.06 / $185.27 / $287.64	Professional		$160.06	$185.27	$287.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.79 / $198.79 / $198.79	Professional		$198.79	$198.79	$198.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,546.03 / $1,546.03 / $1,891.95	Professional		$1,546.03	$1,546.03	$1,891.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.18 / $330.59 / $508.83	Professional		$204.18	$330.59	$508.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $225.93 / $285.85 / $451.86	Professional		$225.93	$285.85	$451.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.79 / $198.79 / $198.79	Professional		$198.79	$198.79	$198.79
United Facility/Professional Professional Modifier Low / Median / High Price $214.17 / $281.64 / $453.14	Professional		$214.17	$281.64	$453.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $184.41 / $204.18 / $293.63	Professional		$184.41	$204.18	$293.63