Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.48 / $25.48 / $39.07	Facility	26	$19.48	$25.48	$39.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.31 / $199.47 / $350.80	Professional		$157.31	$199.47	$350.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $180.01 / $250.84	Professional		$25.06	$180.01	$250.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.79 / $227.24 / $420.38	Professional		$162.79	$227.24	$420.38
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $93.26 / $148.11 / $148.11	Facility	26	$93.26	$148.11	$148.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,553.08 / $1,553.08 / $1,929.83	Professional		$1,553.08	$1,553.08	$1,929.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $210.19 / $380.44 / $547.47	Professional		$210.19	$380.44	$547.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.39 / $231.50 / $275.23	Professional		$35.39	$231.50	$275.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.79 / $245.02 / $428.15	Professional		$162.79	$245.02	$428.15
United Facility/Professional Professional Modifier Low / Median / High Price $154.29 / $213.65 / $373.88	Professional		$154.29	$213.65	$373.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $188.83 / $210.19 / $300.38	Professional		$188.83	$210.19	$300.38