Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.78 / $44.22 / $68.72	Facility	26	$33.78	$44.22	$68.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.97 / $112.26 / $230.51	Professional		$85.97	$112.26	$230.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.27 / $98.31 / $143.34	Professional		$44.27	$98.31	$143.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.73 / $60.73 / $60.73	Facility	26	$60.73	$60.73	$60.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.24 / $174.92 / $567.10	Professional		$102.24	$174.92	$567.10
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $125.68 / $259.16 / $259.16	Facility	26	$125.68	$259.16	$259.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,109.00 / $3,190.63 / $3,190.63	Professional		$3,109.00	$3,190.63	$3,190.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $153.24 / $202.27 / $490.36	Professional		$153.24	$202.27	$490.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $317.60 / $913.00	Professional		$83.34	$317.60	$913.00
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $60.73 / $60.73 / $60.73	Facility	26	$60.73	$60.73	$60.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $189.53 / $420.92	Professional		$106.20	$189.53	$420.92
United Facility/Professional Professional Modifier Low / Median / High Price $119.33 / $155.13 / $374.83	Professional		$119.33	$155.13	$374.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.63 / $117.84 / $166.17	Professional		$104.63	$117.84	$166.17