Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $2.49 / $2.50	Facility		$2.49	$2.49	$2.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $2.64	Professional		$2.49	$2.49	$2.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $121.37 / $121.37	Facility		$80.00	$121.37	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.35 / $2.49 / $2.49	Facility		$2.35	$2.49	$2.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $2.49	Professional		$2.49	$2.49	$2.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $85.00	Facility		$75.00	$85.00	$85.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,398.28 / $5,398.28 / $5,398.28	Professional		$5,398.28	$5,398.28	$5,398.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.48 / $2.49 / $5.47	Facility		$2.48	$2.49	$5.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $3.11	Professional		$2.49	$2.49	$3.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $15.32 / $302.94	Professional		$2.68	$15.32	$302.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $2.49 / $7.12	Facility		$2.49	$2.49	$7.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $9.78	Professional		$2.49	$2.49	$9.78
United Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $2.54	Professional		$2.49	$2.49	$2.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $10.22	Professional		$2.49	$2.49	$10.22