Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Facility		$4.00	$4.00	$4.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $10.84 / $10.84	Professional		$10.84	$10.84	$10.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Professional		$3.24	$3.24	$3.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $100.00	Facility		$90.00	$90.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $6.87 / $6.87	Professional		$6.87	$6.87	$6.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $8.48	Facility		$4.00	$4.00	$8.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $8.48	Facility		$4.00	$4.00	$8.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Professional		$3.24	$3.24	$3.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $0.67 / $0.94	Professional		$0.67	$0.67	$0.94