Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $24.60 / $30.76	Professional		$17.66	$24.60	$30.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.61 / $20.61 / $21.47	Professional		$20.61	$20.61	$21.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.90 / $32.56 / $106.80	Facility		$10.90	$32.56	$106.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $12.70 / $12.70	Professional		$12.70	$12.70	$12.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.68 / $62.68 / $68.89	Professional		$62.68	$62.68	$68.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $47.67 / $104.46 / $119.13	Facility		$47.67	$104.46	$119.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $139.32 / $139.32 / $193.35	Professional		$139.32	$139.32	$193.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $21.90 / $31.32	Facility		$16.82	$21.90	$31.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $21.80 / $35.97	Professional		$19.25	$21.80	$35.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $22.93 / $31.16	Facility		$16.59	$22.93	$31.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $29.45 / $43.40	Professional		$29.45	$29.45	$43.40
United Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $19.30 / $27.89	Professional		$16.00	$19.30	$27.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $23.08 / $32.31	Professional		$23.08	$23.08	$32.31