Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.01 / $5.62 / $7.59	Facility	26	$5.01	$5.62	$7.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.90 / $58.88	Professional		$23.44	$30.90	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $23.99 / $37.15	Professional		$7.24	$23.99	$37.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.95 / $9.12 / $13.18	Facility	26	$1.95	$9.12	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.02 / $72.44	Professional		$26.92	$38.02	$72.44
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $85.11	Facility	26	$70.79	$70.79	$85.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $288.40 / $288.40	Professional		$208.93	$288.40	$288.40
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $5.01 / $5.01 / $6.03	Facility	26	$5.01	$5.01	$6.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $36.31 / $74.13	Professional		$23.99	$36.31	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $32.36 / $33.11	Professional		$6.76	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $31.62 / $64.57	Professional		$8.32	$31.62	$64.57
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $1.95 / $9.12 / $13.18	Facility	26	$1.95	$9.12	$13.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $37.15 / $77.62	Professional		$26.92	$37.15	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $34.67 / $58.88	Professional		$27.54	$34.67	$58.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $34.67 / $41.69	Professional		$33.11	$34.67	$41.69