Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.17 / $19.66 / $31.21	Facility	26	$15.17	$19.66	$31.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.97 / $125.06 / $272.70	Professional		$92.97	$125.06	$272.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $96.16 / $151.10	Professional		$22.85	$96.16	$151.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $27.06	Facility	26	$27.06	$27.06	$27.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $109.61 / $215.29	Professional		$58.70	$109.61	$215.29
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $56.90 / $117.85 / $117.85	Facility	26	$56.90	$117.85	$117.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $899.44 / $899.44 / $1,123.73	Professional		$899.44	$899.44	$1,123.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $161.74 / $213.49 / $424.40	Professional		$161.74	$213.49	$424.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $133.50 / $243.40	Professional		$28.64	$133.50	$243.40
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $27.06	Facility	26	$27.06	$27.06	$27.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $119.50 / $325.74	Professional		$58.70	$119.50	$325.74
United Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $132.09 / $383.80	Professional		$69.73	$132.09	$383.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.43 / $123.16 / $175.76	Professional		$110.43	$123.16	$175.76