Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.46 / $17.05 / $19.45	Facility		$13.46	$17.05	$19.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $17.05 / $23.99	Professional		$10.85	$17.05	$23.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $13.57 / $13.57	Professional		$13.57	$13.57	$13.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.14 / $31.25 / $57.63	Facility		$13.14	$31.25	$57.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $20.16 / $20.16	Professional		$17.14	$20.16	$20.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $12.80 / $12.80	Professional		$12.80	$12.80	$12.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $75.00 / $75.00	Facility		$31.62	$75.00	$75.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $146.80 / $146.80 / $148.97	Professional		$146.80	$146.80	$148.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.56 / $17.05 / $27.41	Facility		$12.56	$17.05	$27.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $18.07 / $25.04	Professional		$15.30	$18.07	$25.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $14.15 / $24.13	Professional		$13.57	$14.15	$24.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $16.82 / $27.21	Facility		$12.49	$16.82	$27.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $12.80 / $20.98	Professional		$12.80	$12.80	$20.98
United Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $18.68 / $30.93	Professional		$10.89	$18.68	$30.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $13.57 / $18.89	Professional		$11.87	$13.57	$18.89