Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.90 / $2.47 / $2.81	Facility		$1.90	$2.47	$2.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $2.50 / $3.34	Professional		$1.90	$2.50	$3.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $2.42 / $2.42	Professional		$2.42	$2.42	$2.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.18 / $4.66 / $10.74	Facility		$2.18	$4.66	$10.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $3.81 / $3.81 / $3.81	Facility		$3.81	$3.81	$3.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $2.52	Facility		$2.29	$2.29	$2.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $2.42	Professional		$1.95	$1.95	$2.42
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 $18.97 / $18.97 / $28.58	Professional		$18.97	$18.97	$28.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.04 / $2.81 / $3.81	Facility		$1.04	$2.81	$3.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $3.43 / $3.81	Professional		$2.33	$3.43	$3.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.04 / $2.73 / $3.81	Facility		$1.04	$2.73	$3.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $3.17	Professional		$1.95	$1.95	$3.17
United Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.76 / $2.31	Professional		$1.35	$1.76	$2.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $1.91 / $3.81	Professional		$1.91	$1.91	$3.81