Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.17 / $54.32 / $97.57	Facility	26	$45.17	$54.32	$97.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.21 / $164.55 / $281.54	Professional		$135.21	$164.55	$281.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.19 / $125.07 / $264.50	Professional		$53.19	$125.07	$264.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.42 / $67.42 / $67.42	Facility	26	$67.42	$67.42	$67.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.51 / $434.09 / $707.39	Professional		$304.51	$434.09	$707.39
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $135.44 / $288.75 / $288.75	Facility	26	$135.44	$288.75	$288.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,407.00 / $1,733.66 / $1,781.16	Professional		$1,407.00	$1,733.66	$1,781.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $356.17 / $485.69 / $890.87	Professional		$356.17	$485.69	$890.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $325.35 / $566.72	Professional		$62.92	$325.35	$566.72
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $67.42 / $67.42 / $67.42	Facility	26	$67.42	$67.42	$67.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $314.14 / $452.37 / $846.55	Professional		$314.14	$452.37	$846.55
United Facility/Professional Professional Modifier Low / Median / High Price $273.38 / $364.50 / $575.91	Professional		$273.38	$364.50	$575.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.13 / $156.08 / $221.37	Professional		$139.13	$156.08	$221.37