Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.14 / $54.05 / $94.95	Facility	26	$49.14	$54.05	$94.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.48 / $119.32 / $221.06	Professional		$98.48	$119.32	$221.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.79 / $126.84 / $194.97	Professional		$65.79	$126.84	$194.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.61 / $167.16 / $280.36	Professional		$124.61	$167.16	$280.36
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $172.46 / $370.69 / $370.69	Facility	26	$172.46	$370.69	$370.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $920.53 / $920.53 / $1,246.95	Professional		$920.53	$920.53	$1,246.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.02 / $240.17 / $432.75	Professional		$140.02	$240.17	$432.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $120.54 / $256.06	Professional		$80.06	$120.54	$256.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.61 / $168.02 / $293.44	Professional		$124.61	$168.02	$293.44
United Facility/Professional Professional Modifier Low / Median / High Price $129.15 / $187.59 / $248.26	Professional		$129.15	$187.59	$248.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $140.02 / $197.72	Professional		$124.23	$140.02	$197.72