Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.03 / $122.26 / $157.65	Facility	26	$98.03	$122.26	$157.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.46 / $309.33 / $482.90	Professional		$247.46	$309.33	$482.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.13 / $239.34 / $383.26	Professional		$153.13	$239.34	$383.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.43 / $135.43 / $135.43	Facility	26	$135.43	$135.43	$135.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.39 / $522.17 / $1,046.45	Professional		$325.39	$522.17	$1,046.45
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $864.48 / $1,086.40 / $1,108.64	Facility	26	$864.48	$1,086.40	$1,108.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,146.96 / $2,232.83 / $2,516.55	Professional		$2,146.96	$2,232.83	$2,516.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $508.66 / $681.71 / $1,139.08	Professional		$508.66	$681.71	$1,139.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,121.50 / $1,226.00 / $1,351.40	Professional		$1,121.50	$1,226.00	$1,351.40
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $135.43 / $135.43 / $135.43	Facility	26	$135.43	$135.43	$135.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.11 / $574.08 / $1,283.85	Professional		$338.11	$574.08	$1,283.85
United Facility/Professional Professional Modifier Low / Median / High Price $408.10 / $545.30 / $927.03	Professional		$408.10	$545.30	$927.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $249.84 / $281.02 / $397.55	Professional		$249.84	$281.02	$397.55