Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $28.18 / $36.31	Facility	26	$23.99	$28.18	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $75.86 / $186.21	Professional		$47.86	$75.86	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $67.61 / $69.18	Professional		$44.67	$67.61	$69.18
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $85.11 / $85.11	Professional	50	$85.11	$85.11	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $56.23 / $83.18	Professional		$31.62	$56.23	$83.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $43.65 / $61.66	Facility	26	$9.33	$43.65	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $138.04 / $275.42	Professional		$57.54	$138.04	$275.42
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $331.13 / $331.13 / $331.13	Facility	26	$331.13	$331.13	$331.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $28.18 / $32.36	Facility	26	$23.99	$28.18	$32.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $87.10 / $194.98	Professional		$51.29	$87.10	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $57.54	Professional		$25.70	$32.36	$57.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $309.03 / $416.87	Professional		$147.91	$309.03	$416.87
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $43.65 / $61.66	Facility	26	$9.33	$43.65	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $131.83 / $281.84	Professional		$58.88	$131.83	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $144.54 / $204.17	Professional		$79.43	$144.54	$204.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $69.18 / $83.18	Professional		$66.07	$69.18	$83.18