Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $52.48 / $54.95	Facility	26	$47.86	$52.48	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $229.09	Professional		$107.15	$141.25	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $128.82 / $186.21	Professional		$70.79	$128.82	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $281.84	Professional		$128.82	$169.82	$281.84
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 $912.01 / $1,258.93 / $1,258.93	Professional		$912.01	$1,258.93	$1,258.93
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $48.98 / $53.70	Facility	26	$47.86	$48.98	$53.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $194.98 / $323.59	Professional		$104.71	$194.98	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $123.03	Professional		$32.36	$33.11	$123.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $288.40	Professional		$229.09	$269.15	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $281.84	Professional		$125.89	$165.96	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $245.47	Professional		$128.82	$190.55	$245.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $151.36	Professional		$144.54	$144.54	$151.36