Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.20 / $82.79 / $101.57	Facility	26	$63.20	$82.79	$101.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.51 / $425.81 / $638.00	Professional		$293.51	$425.81	$638.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $254.26 / $393.97	Professional		$66.45	$254.26	$393.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.95 / $87.95 / $87.95	Facility	26	$87.95	$87.95	$87.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.20 / $475.00 / $909.19	Professional		$278.20	$475.00	$909.19
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $556.32 / $700.72 / $720.40	Facility	26	$556.32	$700.72	$720.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,350.26 / $3,450.76 / $3,450.76	Professional		$3,350.26	$3,450.76	$3,450.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $405.55 / $535.33 / $993.75	Professional		$405.55	$535.33	$993.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $299.29 / $606.01	Professional		$82.15	$299.29	$606.01
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $87.95 / $87.95 / $87.95	Facility	26	$87.95	$87.95	$87.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $292.25 / $507.55 / $945.22	Professional		$292.25	$507.55	$945.22
United Facility/Professional Professional Modifier Low / Median / High Price $330.31 / $460.85 / $846.42	Professional		$330.31	$460.85	$846.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $276.89 / $309.44 / $440.78	Professional		$276.89	$309.44	$440.78