Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $224.75 / $460.10	Professional		$162.63	$224.75	$460.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $205.41 / $218.28 / $284.45	Professional		$205.41	$218.28	$284.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.20 / $207.55 / $238.92	Professional		$191.20	$207.55	$238.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.98 / $199.98 / $199.98	Professional		$199.98	$199.98	$199.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.19 / $1,548.19 / $1,903.28	Professional		$1,548.19	$1,548.19	$1,903.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $205.41 / $358.66 / $525.00	Professional		$205.41	$358.66	$525.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $287.57 / $454.56	Professional		$227.28	$287.57	$454.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.98 / $199.98 / $199.98	Professional		$199.98	$199.98	$199.98
United Facility/Professional Professional Modifier Low / Median / High Price $210.47 / $280.77 / $413.26	Professional		$210.47	$280.77	$413.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $185.52 / $205.41 / $295.39	Professional		$185.52	$205.41	$295.39