Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.36 / $132.36 / $146.72	Facility		$132.36	$132.36	$146.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.61 / $146.72 / $163.22	Professional		$125.61	$146.72	$163.22
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 $301.79 / $939.13 / $939.13	Facility		$301.79	$939.13	$939.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,053.42 / $1,053.42 / $1,493.25	Professional		$1,053.42	$1,053.42	$1,493.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.41 / $154.96 / $280.60	Facility		$80.41	$154.96	$280.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.21 / $165.21 / $165.21	Professional		$165.21	$165.21	$165.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $154.10 / $154.10 / $154.10	Professional		$154.10	$154.10	$154.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.41 / $154.96 / $280.77	Facility		$80.41	$154.96	$280.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.30 / $2,250,000.00 / $2,400,000.00	Professional		$203.30	$2,250,000.00	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $118.00 / $159.30	Professional		$118.00	$118.00	$159.30