Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $100.00 / $131.83	Facility	26	$61.66	$100.00	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $407.38 / $676.08	Professional		$251.19	$407.38	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $204.17 / $288.40	Professional		$63.10	$204.17	$288.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $87.10 / $125.89	Facility	26	$18.62	$87.10	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $446.68 / $891.25	Professional		$251.19	$446.68	$891.25
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $707.95 / $707.95 / $707.95	Facility	26	$707.95	$707.95	$707.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $100.00 / $131.83	Facility	26	$61.66	$100.00	$131.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $446.68 / $851.14	Professional		$275.42	$446.68	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $831.76 / $1,096.48	Professional		$478.63	$831.76	$1,096.48
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $87.10 / $125.89	Facility	26	$18.62	$87.10	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $457.09 / $851.14	Professional		$257.04	$457.09	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $758.58	Professional		$269.15	$416.87	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $316.23	Professional		$257.04	$257.04	$316.23