Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $181.97 / $239.88	Facility	26	$125.89	$181.97	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $891.25	Professional		$380.19	$524.81	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $346.74 / $512.86	Professional		$123.03	$346.74	$512.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $158.49 / $229.09	Facility	26	$33.88	$158.49	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $1,288.25	Professional		$398.11	$602.56	$1,288.25
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility	26	$1,288.25	$1,288.25	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $181.97 / $239.88	Facility	26	$114.82	$181.97	$239.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $1,071.52	Professional		$416.87	$575.44	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $346.74	Professional		$32.36	$33.11	$346.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $1,348.96	Professional		$776.25	$1,174.90	$1,348.96
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $158.49 / $229.09	Facility	26	$33.88	$158.49	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $1,258.93	Professional		$398.11	$602.56	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $1,122.02	Professional		$426.58	$602.56	$1,122.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $426.58 / $512.86	Professional		$407.38	$426.58	$512.86