Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.14 / $36.51 / $56.81	Facility	26	$28.14	$36.51	$56.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.96 / $184.90 / $363.32	Professional		$143.96	$184.90	$363.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $157.12 / $157.12 / $157.12	Professional		$157.12	$157.12	$157.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.40 / $161.32 / $244.11	Professional		$44.40	$161.32	$244.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.97 / $255.05 / $441.01	Professional		$169.97	$255.05	$441.01
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $104.72 / $214.80 / $214.80	Facility	26	$104.72	$214.80	$214.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,573.00 / $1,573.00 / $1,787.85	Professional		$1,573.00	$1,573.00	$1,787.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $196.39 / $339.98 / $501.01	Professional		$196.39	$339.98	$501.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.25 / $220.23 / $427.52	Professional		$53.25	$220.23	$427.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.07 / $262.08 / $445.43	Professional		$177.07	$262.08	$445.43
United Facility/Professional Professional Modifier Low / Median / High Price $192.29 / $236.43 / $360.54	Professional		$192.29	$236.43	$360.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $175.86 / $196.39 / $279.83	Professional		$175.86	$196.39	$279.83