Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.61 / $20.23 / $29.59	Facility	26	$15.61	$20.23	$29.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.93 / $51.42 / $91.15	Professional		$41.93	$51.42	$91.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $44.61 / $68.73	Professional		$20.07	$44.61	$68.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.43 / $28.43 / $28.43	Facility	26	$28.43	$28.43	$28.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $61.23 / $113.79	Professional		$45.25	$61.23	$113.79
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $54.32 / $114.05 / $114.05	Facility	26	$54.32	$114.05	$114.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $393.85 / $393.85 / $495.53	Professional		$393.85	$393.85	$495.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.54 / $86.37 / $139.35	Professional		$67.54	$86.37	$139.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $57.67 / $104.64	Professional		$24.45	$57.67	$104.64
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $28.43 / $28.43 / $28.43	Facility	26	$28.43	$28.43	$28.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.28 / $62.95 / $132.68	Professional		$46.28	$62.95	$132.68
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.12 / $94.67	Professional		$47.86	$63.12	$94.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.14 / $55.24 / $78.18	Professional		$49.14	$55.24	$78.18