Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $17.38 / $36.31	Facility		$8.91	$17.38	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $14.45	Professional		$8.91	$8.91	$14.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $25.12 / $47.86	Facility		$10.72	$25.12	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $9.12 / $9.12	Facility		$8.71	$9.12	$9.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $12.88 / $22.39	Facility		$5.75	$12.88	$22.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $10.96	Professional		$8.91	$8.91	$10.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $12.30 / $27.54	Facility		$8.71	$12.30	$27.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $10.00	Professional		$8.71	$8.71	$10.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12