Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $181.60 / $216.92 / $264.18	Facility	26	$181.60	$216.92	$264.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.60 / $285.27 / $373.51	Professional		$231.60	$285.27	$373.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.64 / $273.61 / $440.20	Professional		$206.64	$273.61	$440.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.88 / $383.00 / $661.00	Professional		$276.88	$383.00	$661.00
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $546.99 / $1,083.21 / $1,143.14	Facility	26	$546.99	$1,083.21	$1,143.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,266.00 / $3,530.08 / $3,530.08	Professional		$2,266.00	$3,530.08	$3,530.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.12 / $376.32 / $524.16	Professional		$309.12	$376.32	$524.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $262.60 / $485.62	Professional		$48.73	$262.60	$485.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $278.72 / $392.93 / $669.52	Professional		$278.72	$392.93	$669.52
United Facility/Professional Professional Modifier Low / Median / High Price $218.95 / $304.67 / $498.95	Professional		$218.95	$304.67	$498.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.41 / $262.64 / $365.31	Professional		$229.41	$262.64	$365.31