Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $29.51	Facility		$28.84	$28.84	$29.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.12 / $42.66	Professional		$23.99	$25.12	$42.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.44 / $38.02	Professional		$14.45	$23.44	$38.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $54.95 / $104.71	Facility		$22.91	$54.95	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $100.00 / $100.00	Facility		$89.13	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $29.51 / $41.69	Facility		$27.54	$29.51	$41.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.84 / $47.86	Professional		$23.99	$28.84	$47.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $30.20	Professional		$26.30	$26.30	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $33.11 / $87.10	Facility		$27.54	$33.11	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $33.11	Professional		$26.30	$31.62	$33.11