Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.24 / $37.92 / $58.05	Facility	26	$29.24	$37.92	$58.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.09 / $321.74 / $455.14	Professional		$248.09	$321.74	$455.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.87 / $161.27 / $387.80	Professional		$58.87	$161.27	$387.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.82 / $51.82 / $51.82	Facility	26	$51.82	$51.82	$51.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.79 / $427.75 / $775.90	Professional		$281.79	$427.75	$775.90
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $107.73 / $221.68 / $221.68	Facility	26	$107.73	$221.68	$221.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,395.01 / $2,395.01 / $2,979.45	Professional		$2,395.01	$2,395.01	$2,979.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $427.79 / $564.67 / $1,368.92	Professional		$427.79	$564.67	$1,368.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.62 / $374.75 / $632.34	Professional		$53.62	$374.75	$632.34
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $51.82 / $51.82 / $51.82	Facility	26	$51.82	$51.82	$51.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $293.07 / $467.06 / $970.99	Professional		$293.07	$467.06	$970.99
United Facility/Professional Professional Modifier Low / Median / High Price $333.12 / $406.37 / $686.17	Professional		$333.12	$406.37	$686.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $292.08 / $325.11 / $464.90	Professional		$292.08	$325.11	$464.90