Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $40.74 / $67.61	Facility	26	$38.02	$40.74	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $676.08	Professional		$302.00	$389.05	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $371.54 / $446.68	Professional		$74.13	$371.54	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $851.14	Professional		$323.59	$457.09	$851.14
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $457.09 / $457.09 / $457.09	Facility	26	$457.09	$457.09	$457.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,715.35 / $3,715.35	Professional		$3,548.13	$3,715.35	$3,715.35
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $40.74 / $40.74	Facility	26	$38.02	$40.74	$40.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $588.84 / $1,000.00	Professional		$309.03	$588.84	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $371.54	Professional		$32.36	$33.11	$371.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $794.33 / $870.96	Professional		$660.69	$794.33	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $831.76	Professional		$302.00	$457.09	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $436.52 / $741.31	Professional		$354.81	$436.52	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $446.68	Professional		$426.58	$426.58	$446.68