Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $1.58 / $2.14	Facility		$1.20	$1.58	$2.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $3.02 / $3.80	Professional		$1.05	$3.02	$3.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $0.62 / $0.62	Facility		$0.62	$0.62	$0.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $0.62 / $85.11	Facility		$0.62	$0.62	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.62 / $0.62	Professional		$0.62	$0.62	$0.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $16.98 / $16.98	Professional		$9.33	$16.98	$16.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $0.66 / $1.12	Facility		$0.62	$0.66	$1.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.65 / $3.02	Professional		$0.62	$0.65	$3.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.79 / $0.95	Professional		$0.62	$0.79	$0.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.79 / $30.20	Professional		$0.60	$0.79	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $0.65 / $3.80	Facility		$0.62	$0.65	$3.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.62 / $0.62	Professional		$0.62	$0.62	$0.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.62 / $0.79	Professional		$0.62	$0.62	$0.79