Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.01 / $6.03 / $8.32	Facility	26	$5.01	$6.03	$8.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $114.82	Professional		$57.54	$75.86	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $67.61 / $87.10	Professional		$7.76	$67.61	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $154.88	Professional		$64.57	$95.50	$154.88
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $85.11 / $85.11	Facility	26	$70.79	$85.11	$85.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $691.83 / $691.83	Professional		$512.86	$691.83	$691.83
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $5.01 / $6.03 / $7.08	Facility	26	$5.01	$6.03	$7.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $186.21	Professional		$61.66	$97.72	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $60.26	Professional		$32.36	$33.11	$60.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $154.88	Professional		$66.07	$87.10	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $125.89	Professional		$67.61	$83.18	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $79.43	Professional		$75.86	$75.86	$79.43