Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $23.64 / $35.65	Professional		$17.48	$23.64	$35.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.78 / $20.78 / $20.78	Professional		$20.78	$20.78	$20.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $23.65 / $36.21	Professional		$18.59	$23.65	$36.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.13 / $68.65 / $115.78	Professional		$30.13	$68.65	$115.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $205.90 / $205.90 / $206.74	Professional		$205.90	$205.90	$206.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $30.80 / $42.90	Professional		$25.30	$30.80	$42.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $29.60 / $56.32	Professional		$22.82	$29.60	$56.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $44.00 / $58.96	Professional		$28.15	$44.00	$58.96
United Facility/Professional Professional Modifier Low / Median / High Price $19.54 / $28.88 / $46.99	Professional		$19.54	$28.88	$46.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $20.78 / $29.85	Professional		$18.78	$20.78	$29.85