Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $52.48	Facility		$12.30	$12.30	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $79.43	Professional		$5.01	$5.01	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.76 / $6.76	Professional		$5.37	$6.76	$6.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $3.47 / $123.03	Facility		$1.29	$3.47	$123.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.99 / $30.20	Professional		$20.89	$23.99	$30.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $85.11	Facility		$50.12	$50.12	$85.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $52.48	Facility		$17.38	$17.38	$52.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.01 / $60,255.96	Professional		$4.57	$5.01	$60,255.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.59 / $12.59	Professional		$8.13	$12.59	$12.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $79.43 / $2,398,832.92	Professional		$12.30	$79.43	$2,398,832.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $5.89	Professional		$5.75	$5.75	$5.89