Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.96 / $17.92 / $22.06	Facility	26	$14.96	$17.92	$22.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.71 / $94.32 / $131.09	Professional		$63.71	$94.32	$131.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $70.06 / $130.50	Professional		$17.62	$70.06	$130.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.87 / $105.12 / $170.84	Professional		$56.87	$105.12	$170.84
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $59.20 / $122.36 / $122.36	Facility	26	$59.20	$122.36	$122.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $641.64 / $641.64 / $763.88	Professional		$641.64	$641.64	$763.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.79 / $134.61 / $179.20	Professional		$83.79	$134.61	$179.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $85.95 / $156.21	Professional		$20.85	$85.95	$156.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.90 / $114.34 / $228.69	Professional		$69.90	$114.34	$228.69
United Facility/Professional Professional Modifier Low / Median / High Price $56.92 / $88.02 / $144.55	Professional		$56.92	$88.02	$144.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $87.87 / $119.50	Professional		$75.09	$87.87	$119.50