Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.14 / $126.14 / $135.47	Facility		$126.14	$126.14	$135.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.83 / $152.22 / $224.00	Professional		$124.83	$152.22	$224.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $372.69 / $1,093.11 / $1,093.11	Facility		$372.69	$1,093.11	$1,093.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,044.82 / $1,066.36 / $1,723.73	Professional		$1,044.82	$1,066.36	$1,723.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.66 / $187.22 / $358.04	Facility		$128.66	$187.22	$358.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.48 / $190.48 / $190.48	Professional		$190.48	$190.48	$190.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $355.90 / $355.90 / $355.90	Professional		$355.90	$355.90	$355.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.66 / $182.93 / $358.04	Facility		$128.66	$182.93	$358.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $548.12 / $2,250,000.00 / $2,400,000.00	Professional		$548.12	$2,250,000.00	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $405.00	Professional		$300.00	$300.00	$405.00