Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Facility		$5.01	$5.01	$5.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $2.82 / $5.89	Professional		$1.32	$2.82	$5.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.79 / $0.79	Professional		$0.65	$0.79	$0.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Facility		$4.07	$4.07	$4.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $4.07	Professional		$3.47	$3.47	$4.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Professional		$9.33	$9.33	$9.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.50 / $10.47	Facility		$5.01	$5.50	$10.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $6.46	Professional		$5.01	$5.01	$6.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.27 / $44.67	Professional		$3.24	$4.27	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.89 / $10.47	Facility		$5.01	$5.89	$10.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $4.07	Professional		$3.47	$3.47	$4.07
United Facility/Professional Facility Modifier Low / Median / High Price $0.24 / $0.34 / $4.37	Facility		$0.24	$0.34	$4.37
United Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $4.37 / $5.37	Professional		$0.32	$4.37	$5.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Professional		$3.80	$3.80	$3.80