Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $4.13 / $8.75	Facility		$4.01	$4.13	$8.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $4.01 / $4.55	Professional		$3.65	$4.01	$4.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $3.95 / $80.00	Facility		$3.95	$3.95	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $3.88 / $3.88	Facility		$3.88	$3.88	$3.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $3.88 / $3.88	Professional		$3.88	$3.88	$3.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $100.00	Facility		$75.00	$85.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $990.66 / $990.66 / $990.66	Professional		$990.66	$990.66	$990.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.65 / $3.95 / $6.58	Facility		$3.65	$3.95	$6.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.30 / $3.42	Professional		$3.30	$3.30	$3.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $4.79 / $8.89	Professional		$3.95	$4.79	$8.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.69 / $3.95 / $6.75	Facility		$3.69	$3.95	$6.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $3.88 / $4.75	Professional		$3.88	$3.88	$4.75
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.03 / $4.23	Professional		$3.80	$4.03	$4.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $5.32	Professional		$3.80	$3.80	$5.32