Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.36 / $79.43 / $113.76	Facility	26	$73.36	$79.43	$113.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.32 / $241.68 / $361.64	Professional		$216.32	$241.68	$361.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $235.04 / $235.04 / $235.04	Professional		$235.04	$235.04	$235.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.31 / $179.48 / $333.35	Professional		$69.31	$179.48	$333.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.20 / $284.13 / $455.86	Professional		$222.20	$284.13	$455.86
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $174.23 / $339.11 / $363.28	Facility	26	$174.23	$339.11	$363.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,687.36 / $1,690.06 / $1,741.05	Professional		$1,687.36	$1,690.06	$1,741.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $192.45 / $301.31 / $361.57	Professional		$192.45	$301.31	$361.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $325.60 / $325.60 / $325.60	Professional		$325.60	$325.60	$325.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $219.38 / $288.75 / $487.74	Professional		$219.38	$288.75	$487.74
United Facility/Professional Professional Modifier Low / Median / High Price $163.49 / $230.40 / $374.66	Professional		$163.49	$230.40	$374.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $171.44 / $192.45 / $272.32	Professional		$171.44	$192.45	$272.32