Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $4.22 / $4.22	Facility		$4.12	$4.22	$4.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $4.22 / $4.88	Professional		$4.12	$4.22	$4.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.94 / $3.94 / $3.94	Professional		$3.94	$3.94	$3.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $15.95 / $28.50	Facility		$15.95	$15.95	$28.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $13.56 / $13.56	Professional		$13.56	$13.56	$13.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $45.01 / $115.97 / $115.97	Facility		$45.01	$115.97	$115.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $133.41 / $133.41 / $177.53	Professional		$133.41	$133.41	$177.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.22 / $11.69 / $26.79	Facility		$4.22	$11.69	$26.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $22.77 / $26.79	Professional		$20.49	$22.77	$26.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.80 / $52.80 / $52.80	Professional		$52.80	$52.80	$52.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.22 / $11.69 / $26.79	Facility		$4.22	$11.69	$26.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $13.56 / $20.79	Professional		$13.56	$13.56	$20.79
United Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $14.08 / $19.94	Professional		$9.97	$14.08	$19.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $26.79 / $36.17	Professional		$14.47	$26.79	$36.17