Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $23.24 / $23.24	Facility		$21.32	$23.24	$23.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $23.24 / $34.24	Professional		$20.28	$23.24	$34.24
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 $36.89 / $36.89 / $36.89	Professional		$36.89	$36.89	$36.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $45.88 / $123.58 / $123.58	Facility		$45.88	$123.58	$123.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $167.71 / $167.71 / $199.28	Professional		$167.71	$167.71	$199.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $32.10 / $52.29	Facility		$21.53	$32.10	$52.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $23.09 / $23.09	Professional		$23.09	$23.09	$23.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $31.20 / $31.20	Professional		$31.20	$31.20	$31.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $32.11 / $52.00	Facility		$21.53	$32.11	$52.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $2,250,000.00 / $2,400,000.00	Professional		$45.60	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Professional		$64.00	$64.00	$64.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $48.00 / $67.20	Professional		$48.00	$48.00	$67.20