Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $18.84 / $18.84	Facility		$17.30	$18.84	$18.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $19.45 / $22.68	Professional		$16.46	$19.45	$22.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $22.28 / $22.28	Professional		$22.28	$22.28	$22.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $41.37 / $217.62 / $217.62	Facility		$41.37	$217.62	$217.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $180.45 / $193.44 / $193.44	Professional		$180.45	$193.44	$193.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.47 / $22.18 / $37.09	Facility		$17.47	$22.18	$37.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $20.88 / $20.88	Professional		$20.88	$20.88	$20.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $28.20 / $31.80	Professional		$24.60	$28.20	$31.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.47 / $22.42 / $37.15	Facility		$17.47	$22.42	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.51 / $2,250,000.00 / $2,400,000.00	Professional		$34.51	$2,250,000.00	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $41.00 / $57.40	Professional		$41.00	$41.00	$57.40