Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.26 / $23.82 / $36.07	Facility	26	$18.26	$23.82	$36.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.50 / $79.20 / $141.41	Professional		$64.50	$79.20	$141.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.34 / $65.59 / $99.20	Professional		$23.34	$65.59	$99.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $97.41 / $179.53	Professional		$72.31	$97.41	$179.53
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $66.40 / $137.99 / $137.99	Facility	26	$66.40	$137.99	$137.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $607.26 / $607.26 / $773.85	Professional		$607.26	$607.26	$773.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.56 / $134.40 / $214.72	Professional		$98.56	$134.40	$214.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.17 / $101.48 / $157.31	Professional		$29.17	$101.48	$157.31
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $100.25 / $207.09	Professional		$73.12	$100.25	$207.09
United Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $102.26 / $152.63	Professional		$77.91	$102.26	$152.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.47 / $85.71 / $121.69	Professional		$76.47	$85.71	$121.69