Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $14.16 / $15.68	Facility		$9.61	$14.16	$15.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $13.18 / $16.51	Professional		$9.21	$13.18	$16.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $16.27	Professional		$16.27	$16.27	$16.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.93 / $12.93 / $12.93	Professional		$12.93	$12.93	$12.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.57 / $21.57 / $21.57	Facility		$21.57	$21.57	$21.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.02 / $14.02	Professional		$13.49	$14.02	$14.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $32.77 / $90.29 / $93.58	Facility		$32.77	$90.29	$93.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $134.28 / $139.65 / $144.30	Professional		$134.28	$139.65	$144.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.70 / $19.64 / $33.24	Facility		$10.70	$19.64	$33.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $23.20 / $23.20	Professional		$23.20	$23.20	$23.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.60 / $19.86 / $33.25	Facility		$11.60	$19.86	$33.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.02 / $14.02	Professional		$13.49	$14.02	$14.02
United Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $10.96 / $19.80	Professional		$9.21	$10.96	$19.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $3.61 / $5.05	Professional		$3.61	$3.61	$5.05