Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.72 / $180.58 / $203.08	Facility	26	$114.72	$180.58	$203.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.96 / $520.27 / $816.99	Professional		$378.96	$520.27	$816.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $395.63 / $395.63 / $395.63	Professional		$395.63	$395.63	$395.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.76 / $326.26 / $542.82	Professional		$123.76	$326.26	$542.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $159.58 / $159.58 / $159.58	Facility	26	$159.58	$159.58	$159.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.30 / $599.61 / $1,226.82	Professional		$356.30	$599.61	$1,226.82
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $1,014.88 / $1,279.35 / $1,307.92	Facility	26	$1,014.88	$1,279.35	$1,307.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,924.22 / $5,006.57 / $5,006.57	Professional		$4,924.22	$5,006.57	$5,006.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $516.33 / $681.55 / $1,034.00	Professional		$516.33	$681.55	$1,034.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.13 / $375.82 / $667.74	Professional		$165.13	$375.82	$667.74
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $159.58 / $159.58 / $159.58	Facility	26	$159.58	$159.58	$159.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $374.92 / $644.22 / $1,273.61	Professional		$374.92	$644.22	$1,273.61
United Facility/Professional Professional Modifier Low / Median / High Price $419.32 / $606.29 / $1,116.24	Professional		$419.32	$606.29	$1,116.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $352.53 / $395.63 / $561.21	Professional		$352.53	$395.63	$561.21