Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.64 / $27.75 / $34.99	Facility	26	$23.64	$27.75	$34.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.03 / $82.53 / $111.45	Professional		$66.03	$82.53	$111.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $58.35 / $108.86	Professional		$24.63	$58.35	$108.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.36 / $105.85 / $159.90	Professional		$70.36	$105.85	$159.90
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $71.05 / $152.66 / $152.66	Facility	26	$71.05	$152.66	$152.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $655.00 / $655.00 / $669.15	Professional		$655.00	$655.00	$669.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.06 / $135.85 / $189.70	Professional		$91.06	$135.85	$189.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $65.95 / $135.80	Professional		$32.90	$65.95	$135.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $110.77 / $204.02	Professional		$77.78	$110.77	$204.02
United Facility/Professional Professional Modifier Low / Median / High Price $63.01 / $85.75 / $133.34	Professional		$63.01	$85.75	$133.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $66.25 / $104.16	Professional		$62.00	$66.25	$104.16