Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.10 / $37.10 / $37.10	Facility		$37.10	$37.10	$37.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $37.10 / $45.86	Professional		$36.34	$37.10	$45.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.71 / $40.71 / $40.71	Professional		$40.71	$40.71	$40.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $14.86 / $14.86	Professional		$14.86	$14.86	$14.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $100.00	Facility		$65.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.10 / $37.39 / $53.05	Facility		$37.10	$37.39	$53.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.10 / $37.10 / $53.05	Facility		$37.10	$37.10	$53.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $14.86 / $14.86	Professional		$14.86	$14.86	$14.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.28 / $35.28 / $56.88	Professional		$35.28	$35.28	$56.88