Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.22 / $40.65 / $71.42	Facility	26	$37.22	$40.65	$71.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.66 / $200.47 / $371.33	Professional		$166.66	$200.47	$371.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $183.17 / $281.18	Professional		$72.55	$183.17	$281.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.88 / $269.94 / $454.20	Professional		$197.88	$269.94	$454.20
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $129.58 / $278.73 / $278.73	Facility	26	$129.58	$278.73	$278.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,574.10 / $1,574.10 / $2,110.94	Professional		$1,574.10	$1,574.10	$2,110.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $231.71 / $401.36 / $555.08	Professional		$231.71	$401.36	$555.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $243.03 / $408.24	Professional		$65.20	$243.03	$408.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $197.88 / $275.57 / $460.45	Professional		$197.88	$275.57	$460.45
United Facility/Professional Professional Modifier Low / Median / High Price $195.75 / $292.68 / $384.36	Professional		$195.75	$292.68	$384.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $207.61 / $231.71 / $330.41	Professional		$207.61	$231.71	$330.41