Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $5.50	Facility		$5.01	$5.01	$5.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.50	Professional		$5.01	$5.01	$5.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.03 / $6.03	Professional		$4.68	$6.03	$6.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $281.84	Facility		$5.50	$5.50	$281.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.62 / $281.84	Facility		$5.50	$5.62	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $79.43	Professional		$60.26	$60.26	$79.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.68 / $0.85	Professional		$0.68	$0.68	$0.85