Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.48 / $8.96 / $13.14	Facility	26	$7.48	$8.96	$13.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $48.78 / $71.00	Professional		$41.14	$48.78	$71.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Professional		$40.65	$40.65	$40.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $34.32 / $63.66	Professional		$8.46	$34.32	$63.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.70 / $68.22 / $122.89	Professional		$48.70	$68.22	$122.89
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $22.09 / $169.20 / $232.58	Facility	26	$22.09	$169.20	$232.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $619.00 / $619.00 / $619.00	Professional		$619.00	$619.00	$619.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.58 / $65.20 / $83.84	Professional		$46.58	$65.20	$83.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $42.29 / $70.20	Professional		$9.64	$42.29	$70.20
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.71 / $71.26 / $128.18	Professional		$49.71	$71.26	$128.18
United Facility/Professional Professional Modifier Low / Median / High Price $41.90 / $58.32 / $103.04	Professional		$41.90	$58.32	$103.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $44.36 / $63.18	Professional		$39.75	$44.36	$63.18