Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.53 / $19.03 / $29.49	Facility	26	$14.53	$19.03	$29.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.97 / $75.84 / $130.56	Professional		$56.97	$75.84	$130.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $57.65 / $96.73	Professional		$25.10	$57.65	$96.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.82 / $25.82 / $25.82	Facility	26	$25.82	$25.82	$25.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.78 / $90.79 / $181.77	Professional		$60.78	$90.79	$181.77
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $53.41 / $111.44 / $111.44	Facility	26	$53.41	$111.44	$111.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $758.00 / $758.00 / $758.00	Professional		$758.00	$758.00	$758.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $117.90 / $187.31	Professional		$88.00	$117.90	$187.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.60 / $198.70 / $227.10	Professional		$88.60	$198.70	$227.10
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $25.82 / $25.82 / $25.82	Facility	26	$25.82	$25.82	$25.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.59 / $103.39 / $221.03	Professional		$67.59	$103.39	$221.03
United Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $92.75 / $150.56	Professional		$74.20	$92.75	$150.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $75.09 / $106.70	Professional		$67.08	$75.09	$106.70