Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.94 / $10.32 / $31.77	Facility		$2.94	$10.32	$31.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $2.94 / $2.94	Professional		$2.94	$2.94	$2.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $6.20 / $6.20	Professional		$6.20	$6.20	$6.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $10.81 / $10.81	Professional		$10.81	$10.81	$10.81
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 $2.94 / $4.20 / $14.00	Facility		$2.94	$4.20	$14.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $8.80 / $9.40	Professional		$5.87	$8.80	$9.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.94 / $3.98 / $8.34	Facility		$2.94	$3.98	$8.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $10.81 / $10.81	Professional		$10.81	$10.81	$10.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.77 / $5.60	Professional		$0.56	$0.77	$5.60