Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.18 / $20.00 / $26.47	Professional		$1.18	$20.00	$26.47
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 $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $100.00	Facility		$90.00	$90.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $17.60 / $24.96	Facility		$14.40	$17.60	$24.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $16.00	Professional		$16.00	$16.00	$16.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $29.40 / $36.00	Professional		$25.60	$29.40	$36.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $17.60 / $26.47	Facility		$14.40	$17.60	$26.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
United Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $16.80 / $27.20	Professional		$12.80	$16.80	$27.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $16.00 / $22.40	Professional		$5.00	$16.00	$22.40