Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.96 / $137.35 / $165.65	Facility	26	$114.96	$137.35	$165.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.18 / $199.84 / $271.64	Professional		$163.18	$199.84	$271.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.21 / $208.21 / $208.21	Professional		$208.21	$208.21	$208.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.59 / $184.46 / $267.36	Professional		$133.59	$184.46	$267.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.79 / $234.11 / $373.13	Professional		$117.79	$234.11	$373.13
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $337.61 / $718.39 / $718.39	Facility	26	$337.61	$718.39	$718.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,346.60 / $1,346.60 / $1,499.78	Professional		$1,346.60	$1,346.60	$1,499.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.57 / $271.20 / $417.20	Professional		$172.57	$271.20	$417.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $172.57 / $319.35	Professional		$45.62	$172.57	$319.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.61 / $256.85 / $483.56	Professional		$133.61	$256.85	$483.56
United Facility/Professional Professional Modifier Low / Median / High Price $152.44 / $207.38 / $331.08	Professional		$152.44	$207.38	$331.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.29 / $177.59 / $240.52	Professional		$151.29	$177.59	$240.52