Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.25 / $43.84 / $70.39	Facility	26	$33.25	$43.84	$70.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $113.77 / $225.55	Professional		$82.28	$113.77	$225.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.09 / $98.09 / $98.09	Professional		$98.09	$98.09	$98.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.17 / $97.09 / $150.47	Professional		$46.17	$97.09	$150.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.14 / $61.14 / $61.14	Facility	26	$61.14	$61.14	$61.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.49 / $166.01 / $566.60	Professional		$95.49	$166.01	$566.60
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $123.55 / $253.18 / $253.18	Facility	26	$123.55	$253.18	$253.18
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 $133.56 / $187.87 / $272.58	Professional		$133.56	$187.87	$272.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $109.21 / $298.60	Professional		$39.11	$109.21	$298.60
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $61.14 / $61.14 / $61.14	Facility	26	$61.14	$61.14	$61.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.98 / $180.59 / $406.82	Professional		$98.98	$180.59	$406.82
United Facility/Professional Professional Modifier Low / Median / High Price $113.19 / $152.84 / $366.49	Professional		$113.19	$152.84	$366.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.18 / $109.58 / $154.19	Professional		$97.18	$109.58	$154.19