Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.92 / $3.80 / $4.30	Facility		$2.92	$3.80	$4.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $3.85 / $5.13	Professional		$2.92	$3.85	$5.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $2.94 / $2.94	Professional		$2.94	$2.94	$2.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $3.34 / $3.73	Facility		$2.82	$3.34	$3.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $3.13 / $3.13	Professional		$2.79	$3.13	$3.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $5.87 / $5.87 / $5.87	Facility		$5.87	$5.87	$5.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.77 / $3.77 / $3.88	Facility		$3.77	$3.77	$3.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.20 / $3.77	Professional		$2.40	$3.20	$3.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $29.23 / $44.03	Professional		$29.23	$29.23	$44.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.60 / $4.30 / $5.87	Facility		$1.60	$4.30	$5.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $5.28 / $5.87	Professional		$3.59	$5.28	$5.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.60 / $4.18 / $5.87	Facility		$1.60	$4.18	$5.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.20 / $4.13	Professional		$2.40	$3.20	$4.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.70 / $3.55	Professional		$2.06	$2.70	$3.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $5.87	Professional		$2.93	$2.93	$5.87