Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.72 / $11.72 / $14.12	Facility	26	$9.72	$11.72	$14.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.09 / $54.42 / $73.54	Professional		$45.09	$54.42	$73.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $38.49 / $71.39	Professional		$11.18	$38.49	$71.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.27 / $14.27 / $14.27	Facility	26	$14.27	$14.27	$14.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $70.02 / $113.24	Professional		$51.88	$70.02	$113.24
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $28.91 / $169.20 / $232.58	Facility	26	$28.91	$169.20	$232.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $452.94 / $466.53 / $469.39	Professional		$452.94	$466.53	$469.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.11 / $71.55 / $95.06	Professional		$51.11	$71.55	$95.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $46.56 / $76.05	Professional		$12.34	$46.56	$76.05
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $14.27 / $14.27 / $14.27	Facility	26	$14.27	$14.27	$14.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $74.20 / $131.88	Professional		$54.08	$74.20	$131.88
United Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $59.57 / $93.96	Professional		$43.60	$59.57	$93.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $48.74 / $69.30	Professional		$43.62	$48.74	$69.30