Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.83 / $46.37 / $70.51	Facility	26	$35.83	$46.37	$70.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $183.23 / $425.34	Professional		$142.63	$183.23	$425.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.03 / $151.69 / $209.41	Professional		$45.03	$151.69	$209.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.32 / $263.67 / $470.49	Professional		$167.32	$263.67	$470.49
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $131.11 / $269.99 / $269.99	Facility	26	$131.11	$269.99	$269.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,091.00 / $2,091.00 / $2,091.00	Professional		$2,091.00	$2,091.00	$2,091.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $193.75 / $334.64 / $496.45	Professional		$193.75	$334.64	$496.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.67 / $183.96 / $380.78	Professional		$62.67	$183.96	$380.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.23 / $279.42 / $470.49	Professional		$177.23	$279.42	$470.49
United Facility/Professional Professional Modifier Low / Median / High Price $186.80 / $251.20 / $396.95	Professional		$186.80	$251.20	$396.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.09 / $193.75 / $275.47	Professional		$173.09	$193.75	$275.47