Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.43 / $69.34 / $108.04	Facility	26	$53.43	$69.34	$108.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.19 / $561.90 / $985.77	Professional		$438.19	$561.90	$985.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.59 / $505.06 / $716.00	Professional		$88.59	$505.06	$716.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.07 / $761.66 / $1,277.47	Professional		$495.07	$761.66	$1,277.47
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $199.13 / $408.88 / $408.88	Facility	26	$199.13	$408.88	$408.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,322.46 / $4,322.46 / $5,333.63	Professional		$4,322.46	$4,322.46	$5,333.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $582.44 / $1,054.22 / $1,522.07	Professional		$582.44	$1,054.22	$1,522.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $641.04 / $740.90	Professional		$95.52	$641.04	$740.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $506.28 / $786.29 / $1,295.19	Professional		$506.28	$786.29	$1,295.19
United Facility/Professional Professional Modifier Low / Median / High Price $587.54 / $710.99 / $1,101.63	Professional		$587.54	$710.99	$1,101.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $523.15 / $582.44 / $832.76	Professional		$523.15	$582.44	$832.76