Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.51 / $33.51 / $36.01	Facility		$33.51	$33.51	$36.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $36.79 / $53.50	Professional		$31.90	$36.79	$53.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $57.66 / $57.66	Professional		$49.01	$57.66	$57.66
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 $50.64 / $50.64 / $50.64	Professional		$50.64	$50.64	$50.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $207.48 / $207.48	Facility		$75.00	$207.48	$207.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $262.88 / $262.88 / $327.45	Professional		$262.88	$262.88	$327.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.18 / $49.15 / $80.37	Facility		$34.18	$49.15	$80.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $36.18 / $36.18	Professional		$36.18	$36.18	$36.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $64.59 / $64.59	Professional		$64.59	$64.59	$64.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.51 / $49.15 / $75.64	Facility		$33.51	$49.15	$75.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.08 / $2,250,000.00 / $2,400,000.00	Professional		$65.08	$2,250,000.00	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $89.10	Professional		$66.00	$66.00	$89.10