Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.50 / $22.94 / $34.71	Facility	26	$17.50	$22.94	$34.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.84 / $112.92 / $192.87	Professional		$87.84	$112.92	$192.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.36 / $89.90 / $146.24	Professional		$30.36	$89.90	$146.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.07 / $31.07 / $31.07	Facility	26	$31.07	$31.07	$31.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.22 / $123.59 / $239.01	Professional		$86.22	$123.59	$239.01
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $85.90 / $133.66 / $133.66	Facility	26	$85.90	$133.66	$133.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $867.22 / $867.22 / $1,046.63	Professional		$867.22	$867.22	$1,046.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.81 / $199.07 / $482.60	Professional		$150.81	$199.07	$482.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $111.09 / $222.30	Professional		$29.56	$111.09	$222.30
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $31.07 / $31.07 / $31.07	Facility	26	$31.07	$31.07	$31.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $141.81 / $320.72	Professional		$89.12	$141.81	$320.72
United Facility/Professional Professional Modifier Low / Median / High Price $94.73 / $123.76 / $195.42	Professional		$94.73	$123.76	$195.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.97 / $114.96 / $163.89	Professional		$102.97	$114.96	$163.89