Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.38 / $22.69 / $34.71	Facility	26	$17.38	$22.69	$34.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.37 / $116.05 / $192.63	Professional		$90.37	$116.05	$192.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.07 / $121.07 / $121.07	Professional		$121.07	$121.07	$121.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.36 / $90.00 / $152.12	Professional		$30.36	$90.00	$152.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.72 / $30.72 / $30.72	Facility	26	$30.72	$30.72	$30.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.04 / $123.96 / $242.70	Professional		$90.04	$123.96	$242.70
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $78.53 / $132.91 / $132.91	Facility	26	$78.53	$132.91	$132.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $891.71 / $891.71 / $1,104.38	Professional		$891.71	$891.71	$1,104.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.90 / $209.75 / $508.48	Professional		$158.90	$209.75	$508.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $115.71 / $230.54	Professional		$29.07	$115.71	$230.54
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $30.72 / $30.72 / $30.72	Facility	26	$30.72	$30.72	$30.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.42 / $141.86 / $326.39	Professional		$92.42	$141.86	$326.39
United Facility/Professional Professional Modifier Low / Median / High Price $95.04 / $122.06 / $191.90	Professional		$95.04	$122.06	$191.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.49 / $121.07 / $172.62	Professional		$108.49	$121.07	$172.62