Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $19.80 / $21.26	Facility		$19.80	$19.80	$21.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $21.26 / $25.74	Professional		$18.39	$21.26	$25.74
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 $24.41 / $24.41 / $24.41	Professional		$24.41	$24.41	$24.41
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 $204.00 / $283.32 / $283.32	Professional		$204.00	$283.32	$283.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $24.79 / $44.33	Facility		$19.80	$24.79	$44.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.58 / $22.58 / $22.58	Professional		$22.58	$22.58	$22.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $32.90 / $32.90	Professional		$32.90	$32.90	$32.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $25.13 / $43.42	Facility		$19.80	$25.13	$43.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $2,250,000.00 / $2,400,000.00	Professional		$34.94	$2,250,000.00	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $32.00 / $43.20	Professional		$32.00	$32.00	$43.20