Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.95 / $32.09 / $49.13	Facility	26	$24.95	$32.09	$49.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.32 / $66.45 / $176.90	Professional		$47.32	$66.45	$176.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.80 / $53.80 / $53.80	Professional		$53.80	$53.80	$53.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $55.87 / $93.02	Professional		$31.19	$55.87	$93.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.74 / $43.74 / $43.74	Facility	26	$43.74	$43.74	$43.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $131.47 / $278.48	Professional		$56.42	$131.47	$278.48
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $89.92 / $327.96 / $327.96	Facility	26	$89.92	$327.96	$327.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $891.97 / $918.73 / $918.73	Professional		$891.97	$918.73	$918.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.29 / $98.49 / $156.09	Professional		$63.29	$98.49	$156.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $182.80 / $279.89 / $402.60	Professional		$182.80	$279.89	$402.60
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $43.74 / $43.74 / $43.74	Facility	26	$43.74	$43.74	$43.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $131.75 / $281.56	Professional		$56.42	$131.75	$281.56
United Facility/Professional Professional Modifier Low / Median / High Price $78.53 / $138.59 / $201.59	Professional		$78.53	$138.59	$201.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.04 / $63.29 / $89.28	Professional		$56.04	$63.29	$89.28