Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.00 / $83.08 / $133.36	Facility	26	$64.00	$83.08	$133.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.45 / $218.27 / $315.64	Professional		$165.45	$218.27	$315.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.28 / $179.73 / $253.48	Professional		$80.28	$179.73	$253.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.41 / $113.41 / $113.41	Facility	26	$113.41	$113.41	$113.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.04 / $231.97 / $398.39	Professional		$174.04	$231.97	$398.39
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $235.26 / $495.43 / $495.43	Facility	26	$235.26	$495.43	$495.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,682.32 / $1,682.32 / $2,167.13	Professional		$1,682.32	$1,682.32	$2,167.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $241.67 / $365.37 / $546.23	Professional		$241.67	$365.37	$546.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $266.20 / $374.30 / $703.50	Professional		$266.20	$374.30	$703.50
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $113.41 / $113.41 / $113.41	Facility	26	$113.41	$113.41	$113.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.12 / $253.55 / $603.26	Professional		$175.12	$253.55	$603.26
United Facility/Professional Professional Modifier Low / Median / High Price $178.67 / $214.74 / $310.89	Professional		$178.67	$214.74	$310.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $215.06 / $251.98 / $342.28	Professional		$215.06	$251.98	$342.28