Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.64 / $56.49 / $87.28	Facility	26	$43.64	$56.49	$87.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.71 / $230.76 / $452.39	Professional		$179.71	$230.76	$452.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.96 / $143.03 / $277.70	Professional		$55.96	$143.03	$277.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.05 / $334.15 / $594.71	Professional		$210.05	$334.15	$594.71
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $162.19 / $334.21 / $334.21	Facility	26	$162.19	$334.21	$334.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,216.00 / $2,279.71 / $2,279.71	Professional		$2,216.00	$2,279.71	$2,279.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $243.15 / $420.04 / $625.13	Professional		$243.15	$420.04	$625.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.88 / $235.31 / $481.41	Professional		$77.88	$235.31	$481.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $222.50 / $351.44 / $594.71	Professional		$222.50	$351.44	$594.71
United Facility/Professional Professional Modifier Low / Median / High Price $240.22 / $320.29 / $481.92	Professional		$240.22	$320.29	$481.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $217.27 / $243.15 / $345.82	Professional		$217.27	$243.15	$345.82