Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.00 / $40.18 / $61.99	Facility	26	$31.00	$40.18	$61.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.55 / $361.33 / $562.96	Professional		$283.55	$361.33	$562.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.80 / $177.63 / $438.57	Professional		$62.80	$177.63	$438.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.81 / $55.81 / $55.81	Facility	26	$55.81	$55.81	$55.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.62 / $500.39 / $884.88	Professional		$317.62	$500.39	$884.88
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $115.85 / $235.84 / $235.84	Facility	26	$115.85	$235.84	$235.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,687.07 / $2,687.07 / $3,351.60	Professional		$2,687.07	$2,687.07	$3,351.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $481.15 / $635.12 / $1,539.68	Professional		$481.15	$635.12	$1,539.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.40 / $425.51 / $722.78	Professional		$57.40	$425.51	$722.78
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $55.81 / $55.81 / $55.81	Facility	26	$55.81	$55.81	$55.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $329.61 / $529.69 / $1,103.59	Professional		$329.61	$529.69	$1,103.59
United Facility/Professional Professional Modifier Low / Median / High Price $377.62 / $469.72 / $755.24	Professional		$377.62	$469.72	$755.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $328.52 / $365.64 / $522.91	Professional		$328.52	$365.64	$522.91