Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $9.63 / $9.63	Facility		$9.63	$9.63	$9.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $9.63 / $38.40	Professional		$9.44	$9.63	$38.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.01 / $14.01 / $17.62	Professional		$14.01	$14.01	$17.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $100.00 / $100.00	Facility		$90.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $20.02 / $20.02	Professional		$20.02	$20.02	$20.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $9.63 / $20.07	Facility		$9.61	$9.63	$20.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $19.25	Professional		$1.23	$1.23	$19.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $9.63 / $13.77	Facility		$9.61	$9.63	$13.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $1,800,000.00	Professional		$1.23	$1.23	$1,800,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $1.08 / $1.46	Professional		$1.08	$1.08	$1.46