Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.22 / $19.05 / $30.90	Facility	26	$16.22	$19.05	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $245.47	Professional		$95.50	$131.83	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $109.65 / $144.54	Professional		$28.18	$109.65	$144.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.89 / $27.54 / $39.81	Facility	26	$5.89	$27.54	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $112.20 / $229.09	Professional		$58.88	$112.20	$229.09
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	26	$147.91	$147.91	$147.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,122.02	Professional		$891.25	$1,122.02	$1,122.02
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $19.05 / $30.90	Facility	26	$15.14	$19.05	$30.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $316.23	Professional		$102.33	$158.49	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $33.11 / $112.20	Professional		$19.50	$33.11	$112.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $123.03 / $257.04	Professional		$24.55	$123.03	$257.04
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $5.89 / $27.54 / $39.81	Facility	26	$5.89	$27.54	$39.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $114.82 / $263.03	Professional		$57.54	$114.82	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $125.89 / $371.54	Professional		$69.18	$125.89	$371.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $134.90 / $158.49	Professional		$128.82	$134.90	$158.49