Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $254.35 / $322.95 / $388.80	Facility	26	$254.35	$322.95	$388.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $959.26 / $1,315.58 / $1,941.08	Professional		$959.26	$1,315.58	$1,941.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.64 / $1,178.96 / $2,165.39	Professional		$362.64	$1,178.96	$2,165.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,468.43 / $1,883.24 / $2,747.62	Professional		$1,468.43	$1,883.24	$2,747.62
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $2,974.88 / $3,621.28 / $3,718.96	Facility	26	$2,974.88	$3,621.28	$3,718.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,066.29 / $9,066.29 / $11,086.50	Professional		$9,066.29	$9,066.29	$11,086.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,649.64 / $1,903.43 / $2,284.11	Professional		$1,649.64	$1,903.43	$2,284.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $722.82 / $1,768.08 / $4,491.33	Professional		$722.82	$1,768.08	$4,491.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,424.55 / $1,935.93 / $2,830.33	Professional		$1,424.55	$1,935.93	$2,830.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,183.74 / $1,506.81 / $2,463.06	Professional		$1,183.74	$1,506.81	$2,463.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,083.01 / $1,212.58 / $1,717.77	Professional		$1,083.01	$1,212.58	$1,717.77