Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $2.00 / $2.00	Facility		$1.51	$2.00	$2.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $2.14	Professional		$1.00	$2.00	$2.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.86 / $2.40	Professional		$1.07	$1.86	$2.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.72 / $3.72	Professional		$3.72	$3.72	$3.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Facility		$4.17	$4.17	$4.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.55 / $3.55	Professional		$3.55	$3.55	$3.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $23.99	Professional		$22.91	$22.91	$23.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $2.88 / $5.37	Facility		$1.66	$2.88	$5.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $2.00	Professional		$1.00	$2.00	$2.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $10.47	Professional		$7.76	$7.76	$10.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $9.55	Professional		$0.60	$0.60	$9.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $3.02 / $5.50	Facility		$1.66	$3.02	$5.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.55 / $3.55	Professional		$3.55	$3.55	$3.55
United Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.74 / $3.02	Professional		$1.45	$1.74	$3.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.27 / $6.17	Professional		$3.63	$4.27	$6.17