Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.86 / $45.02 / $79.67	Facility	26	$37.86	$45.02	$79.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.15 / $183.50 / $322.51	Professional		$169.15	$183.50	$322.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $131.66 / $394.23	Professional		$75.02	$131.66	$394.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $142.25 / $452.74	Professional		$71.37	$142.25	$452.74
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $142.34 / $297.87 / $297.87	Facility	26	$142.34	$297.87	$297.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,810.20 / $1,810.20 / $2,249.85	Professional		$1,810.20	$1,810.20	$2,249.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $247.95 / $364.10 / $637.32	Professional		$247.95	$364.10	$637.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $228.25 / $458.22	Professional		$62.56	$228.25	$458.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $157.32 / $646.52	Professional		$71.37	$157.32	$646.52
United Facility/Professional Professional Modifier Low / Median / High Price $89.84 / $168.90 / $422.25	Professional		$89.84	$168.90	$422.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $109.79 / $261.94	Professional		$107.28	$109.79	$261.94