Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $47.50 / $52.67	Professional		$47.50	$47.50	$52.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $29.52 / $29.52	Professional		$29.52	$29.52	$29.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $100.00 / $100.00	Facility		$90.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.50 / $55.00 / $75.00	Facility		$47.50	$55.00	$75.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $92.00 / $112.50	Professional		$80.00	$92.00	$112.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.50 / $55.00 / $75.00	Facility		$47.50	$55.00	$75.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $29.52 / $29.52	Professional		$29.52	$29.52	$29.52
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $52.50 / $85.00	Professional		$40.00	$52.50	$85.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $50.00 / $70.00	Professional		$25.00	$50.00	$70.00