Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $13.10 / $13.10	Facility		$13.10	$13.10	$13.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $13.10 / $13.58	Professional		$12.78	$13.10	$13.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.99 / $13.58 / $85.00	Facility		$9.99	$13.58	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $13.58 / $13.58	Professional		$13.58	$13.58	$13.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $60.72 / $71.91	Professional		$55.93	$60.72	$71.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $13.10 / $15.98	Facility		$4.26	$13.10	$15.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $4.50	Professional		$4.50	$4.50	$4.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $13.10 / $18.19	Facility		$4.26	$13.10	$18.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $13.58 / $13.58	Professional		$8.25	$13.58	$13.58
United Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $2.15 / $3.81	Professional		$1.77	$2.15	$3.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.32 / $13.32 / $18.64	Professional		$13.32	$13.32	$18.64