Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $16.98 / $21.88	Facility	26	$15.14	$16.98	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $57.54 / $89.13	Professional		$41.69	$57.54	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $48.98 / $66.07	Professional		$20.42	$48.98	$66.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.62 / $26.30 / $37.15	Facility	26	$5.62	$26.30	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $63.10 / $117.49	Professional		$46.77	$63.10	$117.49
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $154.88 / $154.88	Facility	26	$154.88	$154.88	$154.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $501.19	Professional		$398.11	$501.19	$501.19
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $16.98 / $19.95	Facility	26	$15.14	$16.98	$19.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $67.61 / $123.03	Professional		$45.71	$67.61	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.36 / $52.48	Professional		$20.89	$32.36	$52.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $57.54 / $112.20	Professional		$25.12	$57.54	$112.20
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $5.62 / $26.30 / $37.15	Facility	26	$5.62	$26.30	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $63.10 / $125.89	Professional		$46.77	$63.10	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.10 / $95.50	Professional		$47.86	$63.10	$95.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $61.66 / $72.44	Professional		$58.88	$61.66	$72.44