Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.30 / $97.18 / $139.55	Facility	26	$86.30	$97.18	$139.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.46 / $449.41 / $613.51	Professional		$249.46	$449.41	$613.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.97 / $311.20 / $558.91	Professional		$76.97	$311.20	$558.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.95 / $430.09 / $703.78	Professional		$261.95	$430.09	$703.78
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $344.40 / $433.72 / $433.72	Facility	26	$344.40	$433.72	$433.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,885.70 / $3,193.76 / $3,369.08	Professional		$2,885.70	$3,193.76	$3,369.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $448.48 / $535.50 / $711.15	Professional		$448.48	$535.50	$711.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $351.98 / $581.70	Professional		$83.73	$351.98	$581.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $285.56 / $488.21 / $1,083.40	Professional		$285.56	$488.21	$1,083.40
United Facility/Professional Professional Modifier Low / Median / High Price $221.90 / $345.59 / $598.17	Professional		$221.90	$345.59	$598.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $326.32 / $380.57 / $517.02	Professional		$326.32	$380.57	$517.02