Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $19.05 / $19.95	Facility		$18.20	$19.05	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $26.92	Professional		$15.85	$19.95	$26.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $281.84	Professional		$204.17	$204.17	$281.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $22.91 / $41.69	Facility		$18.20	$22.91	$41.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $25.12	Professional		$16.98	$19.95	$25.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $22.91 / $40.74	Facility		$17.78	$22.91	$40.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $37.15 / $79.43	Professional		$23.44	$37.15	$79.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $30.90	Professional		$25.12	$25.12	$30.90