Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.33 / $12.33 / $13.27	Facility		$12.33	$12.33	$13.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $13.30 / $17.91	Professional		$11.56	$13.30	$17.91
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 $17.39 / $17.39 / $17.39	Professional		$17.39	$17.39	$17.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $885.11 / $885.11	Facility		$85.00	$885.11	$885.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $123.45 / $283.32 / $283.32	Professional		$123.45	$283.32	$283.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.53 / $16.88 / $28.70	Facility		$12.53	$16.88	$28.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $13.61 / $13.61	Professional		$13.61	$13.61	$13.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $21.90 / $21.90	Professional		$21.90	$21.90	$21.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $16.94 / $28.43	Facility		$12.50	$16.94	$28.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $2,250,000.00 / $2,400,000.00	Professional		$22.33	$2,250,000.00	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $32.40	Professional		$24.00	$24.00	$32.40