Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.75 / $237.75 / $237.75	Facility		$237.75	$237.75	$237.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.95 / $237.75 / $447.24	Professional		$117.95	$237.75	$447.24
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 $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $155.18 / $237.75 / $447.24	Facility		$155.18	$237.75	$447.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $94.24 / $109.15 / $153.00	Professional		$94.24	$109.15	$153.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.18 / $237.75 / $447.24	Facility		$155.18	$237.75	$447.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,250,000.00	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $19.87 / $27.82	Professional		$19.87	$19.87	$27.82