Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.32 / $72.70 / $90.04	Facility	26	$59.32	$72.70	$90.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.48 / $163.25 / $236.22	Professional		$125.48	$163.25	$236.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.96 / $187.55 / $232.05	Professional		$142.96	$187.55	$232.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $133.05 / $156.53	Professional		$77.31	$133.05	$156.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.86 / $210.06 / $338.01	Professional		$160.86	$210.06	$338.01
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $212.19 / $420.63 / $443.65	Facility	26	$212.19	$420.63	$443.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,321.58 / $1,321.58 / $1,354.95	Professional		$1,321.58	$1,321.58	$1,354.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $183.01 / $222.80 / $310.32	Professional		$183.01	$222.80	$310.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.04 / $134.66 / $277.04	Professional		$78.04	$134.66	$277.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $215.45 / $365.82	Professional		$161.79	$215.45	$365.82
United Facility/Professional Professional Modifier Low / Median / High Price $126.34 / $168.57 / $270.33	Professional		$126.34	$168.57	$270.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $135.82 / $153.72 / $216.23	Professional		$135.82	$153.72	$216.23