Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.01 / $98.31 / $125.50	Facility	26	$82.01	$98.31	$125.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.12 / $392.98 / $540.57	Professional		$325.12	$392.98	$540.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $350.42 / $350.42 / $350.42	Professional		$350.42	$350.42	$350.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.15 / $294.41 / $548.37	Professional		$95.15	$294.41	$548.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.81 / $483.29 / $773.09	Professional		$313.81	$483.29	$773.09
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $261.33 / $535.23 / $535.23	Facility	26	$261.33	$535.23	$535.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,594.32 / $2,594.32 / $3,218.40	Professional		$2,594.32	$2,594.32	$3,218.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $428.16 / $569.63 / $869.86	Professional		$428.16	$569.63	$869.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.31 / $347.53 / $672.92	Professional		$117.31	$347.53	$672.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $365.34 / $522.82 / $967.24	Professional		$365.34	$522.82	$967.24
United Facility/Professional Professional Modifier Low / Median / High Price $298.55 / $413.19 / $646.39	Professional		$298.55	$413.19	$646.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $317.76 / $372.00 / $505.48	Professional		$317.76	$372.00	$505.48