Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.82 / $37.11 / $44.55	Facility	26	$30.82	$37.11	$44.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.86 / $189.51 / $321.72	Professional		$139.86	$189.51	$321.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.01 / $157.91 / $300.14	Professional		$42.01	$157.91	$300.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.38 / $52.38 / $52.38	Facility	26	$52.38	$52.38	$52.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.75 / $272.23 / $442.74	Professional		$187.75	$272.23	$442.74
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $104.43 / $233.70 / $233.70	Facility	26	$104.43	$233.70	$233.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,494.48 / $1,539.32 / $1,992.60	Professional		$1,494.48	$1,539.32	$1,992.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $291.99 / $377.87 / $425.96	Professional		$291.99	$377.87	$425.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.17 / $256.48 / $412.51	Professional		$56.17	$256.48	$412.51
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $52.38 / $52.38 / $52.38	Facility	26	$52.38	$52.38	$52.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.56 / $300.35 / $513.02	Professional		$195.56	$300.35	$513.02
United Facility/Professional Professional Modifier Low / Median / High Price $178.66 / $238.82 / $397.53	Professional		$178.66	$238.82	$397.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $195.45 / $217.81 / $311.01	Professional		$195.45	$217.81	$311.01