Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $19.95 / $26.92	Facility	26	$18.20	$19.95	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $141.25	Professional		$64.57	$87.10	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $75.86 / $97.72	Professional		$23.99	$75.86	$97.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.92 / $32.36 / $45.71	Facility	26	$6.92	$32.36	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $186.21	Professional		$72.44	$102.33	$186.21
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	26	$181.97	$181.97	$181.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $776.25	Professional		$602.56	$776.25	$776.25
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $19.95 / $22.91	Facility	26	$18.20	$19.95	$22.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $199.53	Professional		$70.79	$107.15	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $79.43	Professional		$23.44	$33.11	$79.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $85.11 / $154.88	Professional		$28.84	$85.11	$154.88
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $6.92 / $32.36 / $45.71	Facility	26	$6.92	$32.36	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $204.17	Professional		$74.13	$100.00	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $154.88	Professional		$77.62	$102.33	$154.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $93.33 / $109.65	Professional		$89.13	$93.33	$109.65