Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.21 / $1.21 / $1.21	Facility		$1.21	$1.21	$1.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.21 / $1.21 / $1.42	Professional		$1.21	$1.21	$1.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $121.37 / $121.37	Facility		$80.00	$121.37	$121.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.21 / $1.23 / $3.43	Facility		$1.21	$1.23	$3.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $205.54 / $302.94	Professional		$148.10	$205.54	$302.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.21 / $1.23 / $3.43	Facility		$1.21	$1.23	$3.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,250,000.00	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $39.36 / $53.14	Professional		$39.36	$39.36	$53.14