Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.76 / $3.38 / $4.18	Facility	26	$2.76	$3.38	$4.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $46.87 / $67.86	Professional		$37.94	$46.87	$67.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.33 / $47.33 / $52.57	Professional		$47.33	$47.33	$52.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $33.68 / $64.56	Professional		$3.16	$33.68	$64.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.21 / $4.21 / $4.21	Facility	26	$4.21	$4.21	$4.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.11 / $62.57 / $105.16	Professional		$45.11	$62.57	$105.16
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $8.31 / $100.00 / $100.00	Facility	26	$8.31	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $442.90 / $456.19 / $456.19	Professional		$442.90	$456.19	$456.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.90 / $63.32 / $84.42	Professional		$46.90	$63.32	$84.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $47.16 / $77.47	Professional		$3.63	$47.16	$77.47
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $4.21 / $4.21 / $4.21	Facility	26	$4.21	$4.21	$4.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.33 / $66.94 / $118.45	Professional		$47.33	$66.94	$118.45
United Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $54.19 / $88.02	Professional		$40.28	$54.19	$88.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.03 / $44.44 / $63.67	Professional		$40.03	$44.44	$63.67