Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.58 / $44.15 / $70.39	Facility	26	$33.58	$44.15	$70.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.82 / $113.68 / $244.20	Professional		$83.82	$113.68	$244.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $97.90 / $139.96	Professional		$43.71	$97.90	$139.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.76 / $60.76 / $60.76	Facility	26	$60.76	$60.76	$60.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.88 / $168.49 / $567.49	Professional		$97.88	$168.49	$567.49
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $123.84 / $253.94 / $253.94	Facility	26	$123.84	$253.94	$253.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,099.85 / $3,192.85 / $3,192.85	Professional		$3,099.85	$3,192.85	$3,192.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $148.88 / $192.67 / $276.62	Professional		$148.88	$192.67	$276.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.99 / $85.55 / $249.82	Professional		$34.99	$85.55	$249.82
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $60.76 / $60.76 / $60.76	Facility	26	$60.76	$60.76	$60.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.46 / $185.06 / $413.10	Professional		$101.46	$185.06	$413.10
United Facility/Professional Professional Modifier Low / Median / High Price $115.23 / $155.36 / $378.24	Professional		$115.23	$155.36	$378.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.66 / $112.33 / $158.15	Professional		$99.66	$112.33	$158.15