Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.92 / $82.44 / $111.27	Facility	26	$62.92	$82.44	$111.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $381.20 / $636.52	Professional		$250.00	$381.20	$636.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.96 / $172.96 / $172.96	Professional		$172.96	$172.96	$172.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.97 / $191.86 / $338.06	Professional		$95.97	$191.86	$338.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.60 / $87.60 / $87.60	Facility	26	$87.60	$87.60	$87.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.95 / $435.00 / $874.09	Professional		$221.95	$435.00	$874.09
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $556.32 / $700.72 / $717.20	Facility	26	$556.32	$700.72	$717.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,348.15 / $3,448.60 / $3,448.60	Professional		$3,348.15	$3,448.60	$3,448.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.06 / $426.44 / $631.97	Professional		$323.06	$426.44	$631.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $222.68 / $471.33	Professional		$81.54	$222.68	$471.33
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $87.60 / $87.60 / $87.60	Facility	26	$87.60	$87.60	$87.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $237.64 / $460.79 / $855.21	Professional		$237.64	$460.79	$855.21
United Facility/Professional Professional Modifier Low / Median / High Price $262.18 / $406.74 / $783.31	Professional		$262.18	$406.74	$783.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $220.58 / $247.08 / $351.07	Professional		$220.58	$247.08	$351.07