Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.21 / $57.51 / $87.22	Facility	26	$44.21	$57.51	$87.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.69 / $199.41 / $475.00	Professional		$153.69	$199.41	$475.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.24 / $210.83 / $210.83	Professional		$160.24	$210.83	$210.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.29 / $163.43 / $264.01	Professional		$81.29	$163.43	$264.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.34 / $78.34 / $78.34	Facility	26	$78.34	$78.34	$78.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.20 / $274.16 / $502.42	Professional		$179.20	$274.16	$502.42
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $495.28 / $624.08 / $641.60	Facility	26	$495.28	$624.08	$641.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.91 / $1,445.91 / $1,798.50	Professional		$1,445.91	$1,445.91	$1,798.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $260.79 / $344.24 / $510.91	Professional		$260.79	$344.24	$510.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $181.04 / $367.41	Professional		$72.67	$181.04	$367.41
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $78.34 / $78.34 / $78.34	Facility	26	$78.34	$78.34	$78.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.74 / $310.08 / $602.89	Professional		$186.74	$310.08	$602.89
United Facility/Professional Professional Modifier Low / Median / High Price $211.82 / $471.84 / $828.35	Professional		$211.82	$471.84	$828.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $178.06 / $199.71 / $283.43	Professional		$178.06	$199.71	$283.43