Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.42 / $57.00 / $73.11	Facility	26	$45.42	$57.00	$73.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.85 / $120.55 / $183.32	Professional		$95.85	$120.55	$183.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.03 / $83.37 / $110.42	Professional		$45.03	$83.37	$110.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.77 / $121.51 / $242.27	Professional		$85.77	$121.51	$242.27
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $130.27 / $296.93 / $368.13	Facility	26	$130.27	$296.93	$368.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.00 / $1,548.00 / $1,548.00	Professional		$1,548.00	$1,548.00	$1,548.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.77 / $161.09 / $191.60	Professional		$59.77	$161.09	$191.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $370.10 / $370.10 / $370.10	Professional		$370.10	$370.10	$370.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.04 / $128.47 / $271.89	Professional		$88.04	$128.47	$271.89
United Facility/Professional Professional Modifier Low / Median / High Price $99.31 / $118.32 / $194.45	Professional		$99.31	$118.32	$194.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.65 / $103.57 / $145.75	Professional		$91.65	$103.57	$145.75