Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $19.17 / $30.08	Professional		$14.28	$19.17	$30.08
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $17.46 / $17.46 / $17.46	Professional	CQ	$17.46	$17.46	$17.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $24.09 / $24.09	Professional		$21.35	$24.09	$24.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.26 / $30.59 / $94.86	Professional		$17.26	$30.59	$94.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $189.35 / $252.83	Professional		$33.57	$189.35	$252.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.35 / $38.69 / $53.57	Professional		$23.35	$38.69	$53.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.05 / $30.78 / $59.92	Professional		$23.05	$30.78	$59.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $36.18 / $99.29	Professional		$18.78	$36.18	$99.29
United Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $24.81 / $30.50	Professional		$20.14	$24.81	$30.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $28.74 / $80.00	Professional		$25.40	$28.74	$80.00