Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $29.51	Professional		$12.02	$15.85	$29.51
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $20.89 / $20.89 / $20.89	Professional	CQ	$20.89	$20.89	$20.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $15.85	Professional		$14.13	$15.85	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.05 / $37.15	Professional		$12.88	$19.05	$37.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $158.49 / $158.49	Professional		$144.54	$158.49	$158.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $35.48	Professional		$12.02	$18.20	$35.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $35.48	Professional		$28.18	$33.11	$35.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.38 / $70.79	Professional		$17.38	$21.38	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.50 / $38.02	Professional		$13.18	$19.50	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $29.51	Professional		$15.85	$19.95	$29.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $19.05 / $19.05	Professional		$18.62	$19.05	$19.05