Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $188.25 / $207.08 / $364.87	Facility	26	$188.25	$207.08	$364.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.54 / $768.65 / $1,540.88	Professional		$604.54	$768.65	$1,540.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.32 / $659.84 / $1,070.02	Professional		$340.32	$659.84	$1,070.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.78 / $1,026.30 / $1,697.09	Professional		$748.78	$1,026.30	$1,697.09
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $662.35 / $1,421.72 / $1,421.72	Facility	26	$662.35	$1,421.72	$1,421.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,608.27 / $5,608.27 / $7,678.80	Professional		$5,608.27	$5,608.27	$7,678.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $848.54 / $1,331.87 / $1,825.34	Professional		$848.54	$1,331.87	$1,825.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $333.01 / $812.54 / $1,465.73	Professional		$333.01	$812.54	$1,465.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $748.78 / $1,032.26 / $1,789.20	Professional		$748.78	$1,032.26	$1,789.20
United Facility/Professional Professional Modifier Low / Median / High Price $815.43 / $1,171.56 / $1,476.48	Professional		$815.43	$1,171.56	$1,476.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $757.80 / $848.54 / $1,205.81	Professional		$757.80	$848.54	$1,205.81