Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $13.18	Facility		$12.88	$12.88	$13.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $14.45	Professional		$12.02	$12.88	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $13.49 / $85.11	Facility		$10.00	$13.49	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
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 $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $13.18 / $19.05	Facility		$4.27	$13.18	$19.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $12.88	Professional		$12.02	$12.88	$12.88
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 $4.37 / $13.18 / $19.05	Facility		$4.37	$13.18	$19.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.14 / $3.80	Professional		$1.78	$2.14	$3.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $16.60	Professional		$13.18	$13.18	$16.60