Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.90 / $43.10 / $65.84	Facility	26	$32.90	$43.10	$65.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.03 / $136.04 / $267.39	Professional		$96.03	$136.04	$267.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $108.92 / $158.35	Professional		$43.37	$108.92	$158.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.33 / $59.33 / $59.33	Facility	26	$59.33	$59.33	$59.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.25 / $197.08 / $569.75	Professional		$115.25	$197.08	$569.75
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $121.82 / $247.86 / $247.86	Facility	26	$121.82	$247.86	$247.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,098.01 / $3,190.96 / $3,190.96	Professional		$3,098.01	$3,190.96	$3,190.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $178.58 / $231.10 / $413.40	Professional		$178.58	$231.10	$413.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.89 / $189.22 / $376.70	Professional		$86.89	$189.22	$376.70
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $59.33 / $59.33 / $59.33	Facility	26	$59.33	$59.33	$59.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.98 / $207.01 / $458.66	Professional		$120.98	$207.01	$458.66
United Facility/Professional Professional Modifier Low / Median / High Price $124.53 / $172.90 / $384.68	Professional		$124.53	$172.90	$384.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $119.54 / $134.35 / $189.99	Professional		$119.54	$134.35	$189.99