Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.81 / $43.27 / $70.81	Facility	26	$32.81	$43.27	$70.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.87 / $111.08 / $233.08	Professional		$78.87	$111.08	$233.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.14 / $93.91 / $145.05	Professional		$46.14	$93.91	$145.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.80 / $60.80 / $60.80	Facility	26	$60.80	$60.80	$60.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.04 / $160.07 / $560.70	Professional		$93.04	$160.07	$560.70
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $123.61 / $253.46 / $253.46	Facility	26	$123.61	$253.46	$253.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,401.00 / $3,401.00 / $3,401.00	Professional		$3,401.00	$3,401.00	$3,401.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $124.84 / $182.54 / $262.52	Professional		$124.84	$182.54	$262.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.35 / $104.12 / $291.70	Professional		$36.35	$104.12	$291.70
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $60.80 / $60.80 / $60.80	Facility	26	$60.80	$60.80	$60.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.44 / $176.59 / $395.28	Professional		$96.44	$176.59	$395.28
United Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $148.97 / $366.87	Professional		$108.90	$148.97	$366.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.42 / $106.51 / $149.66	Professional		$94.42	$106.51	$149.66