Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.00 / $3.02 / $3.02	Facility	26	$2.00	$3.02	$3.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $100.00	Professional		$38.90	$48.98	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $52.48	Professional		$50.12	$50.12	$52.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $35.48 / $60.26	Professional		$3.02	$35.48	$60.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $0.89 / $4.17 / $6.03	Facility	26	$0.89	$4.17	$6.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $63.10 / $112.20	Professional		$43.65	$63.10	$112.20
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $2.00 / $3.02 / $3.02	Facility	26	$2.00	$3.02	$3.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $93.33	Professional		$38.90	$52.48	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $33.11 / $39.81	Professional		$2.95	$33.11	$39.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $53.70 / $114.82	Professional		$4.27	$53.70	$114.82
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $6.03 / $6.03	Facility	26	$6.03	$6.03	$6.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $114.82	Professional		$44.67	$64.57	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $56.23 / $91.20	Professional		$41.69	$56.23	$91.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $50.12 / $61.66	Professional		$37.15	$50.12	$61.66