Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $15.14 / $19.95	Facility		$6.03	$15.14	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $8.91	Professional		$6.03	$6.03	$8.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $50.12 / $91.20	Facility		$19.50	$50.12	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $6.17 / $6.17	Facility		$5.89	$6.17	$6.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Professional		$6.17	$6.17	$6.17
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 $2.45 / $8.91 / $12.59	Facility		$2.45	$8.91	$12.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $8.91	Professional		$6.03	$6.03	$8.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $9.33	Professional		$7.59	$7.59	$9.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $8.91 / $17.38	Facility		$5.62	$8.91	$17.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $6.76	Professional		$5.62	$5.62	$6.76
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Professional		$6.17	$6.17	$6.17