Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $30.90 / $40.74	Facility	26	$28.18	$30.90	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $169.82	Professional		$77.62	$107.15	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $91.20 / $134.90	Professional		$50.12	$91.20	$134.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $48.98 / $70.79	Facility	26	$10.47	$48.98	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $316.23	Professional		$83.18	$128.82	$316.23
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	26	$275.42	$275.42	$275.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $30.90 / $36.31	Facility	26	$28.18	$30.90	$36.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $234.42	Professional		$85.11	$117.49	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $89.13	Professional		$32.36	$33.11	$89.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $107.15 / $263.03	Professional		$44.67	$107.15	$263.03
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $48.98 / $70.79	Facility	26	$10.47	$48.98	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $288.40	Professional		$83.18	$125.89	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $234.42	Professional		$93.33	$131.83	$234.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $112.20 / $134.90	Professional		$107.15	$112.20	$134.90