Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $72.44 / $81.28	Facility	26	$63.10	$72.44	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $602.56	Professional		$263.03	$354.81	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $281.84 / $380.19	Professional		$97.72	$281.84	$380.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $114.82 / $162.18	Facility	26	$24.55	$114.82	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $831.76	Professional		$295.12	$457.09	$831.76
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $912.01 / $912.01 / $912.01	Facility	26	$912.01	$912.01	$912.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $2,884.03	Professional		$2,290.87	$2,884.03	$2,884.03
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $64.57 / $81.28	Facility	26	$63.10	$64.57	$81.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $446.68 / $812.83	Professional		$275.42	$446.68	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $275.42	Professional		$32.36	$33.11	$275.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $316.23 / $660.69	Professional		$100.00	$316.23	$660.69
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $114.82 / $162.18	Facility	26	$24.55	$114.82	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $851.14	Professional		$302.00	$457.09	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $562.34 / $1,000.00	Professional		$338.84	$562.34	$1,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $398.11	Professional		$316.23	$316.23	$398.11