Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.95 / $25.70	Professional		$18.20	$19.95	$25.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.25 / $0.25	Professional		$0.25	$0.25	$0.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.18 / $0.18 / $0.18	Facility		$0.18	$0.18	$0.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Professional		$0.15	$0.15	$0.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $12.02 / $12.02	Professional		$3.72	$12.02	$12.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $0.37 / $0.60	Facility		$0.21	$0.37	$0.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $1.00 / $1.00	Professional		$0.31	$1.00	$1.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $81.28	Professional		$30.20	$50.12	$81.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $0.38 / $0.62	Facility		$0.21	$0.38	$0.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Professional		$0.15	$0.15	$0.15
United Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.22 / $0.38	Professional		$0.18	$0.22	$0.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.23 / $0.23	Professional		$0.15	$0.23	$0.23