Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.06 / $95.83 / $117.19	Facility	26	$80.06	$95.83	$117.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.36 / $232.71 / $329.33	Professional		$186.36	$232.71	$329.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.72 / $309.72 / $309.72	Professional		$309.72	$309.72	$309.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.57 / $178.92 / $316.93	Professional		$93.57	$178.92	$316.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.58 / $274.00 / $453.60	Professional		$159.58	$274.00	$453.60
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $238.79 / $512.38 / $512.38	Facility	26	$238.79	$512.38	$512.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,539.23 / $1,539.23 / $1,840.20	Professional		$1,539.23	$1,539.23	$1,840.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $206.48 / $328.61 / $499.18	Professional		$206.48	$328.61	$499.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $106.87 / $183.82 / $383.73	Professional		$106.87	$183.82	$383.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.35 / $298.83 / $558.41	Professional		$167.35	$298.83	$558.41
United Facility/Professional Professional Modifier Low / Median / High Price $174.40 / $250.05 / $395.55	Professional		$174.40	$250.05	$395.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $214.91 / $291.82	Professional		$183.31	$214.91	$291.82