Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Facility		$5.00	$5.00	$5.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.05	Professional		$5.00	$5.00	$5.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $1.31 / $1.31	Professional		$1.31	$1.31	$1.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.80 / $0.80	Professional		$0.65	$0.80	$0.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $4.12 / $4.12	Facility		$4.12	$4.12	$4.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.50 / $4.12	Professional		$3.50	$3.50	$4.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $273.83 / $273.83 / $273.83	Facility		$273.83	$273.83	$273.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $9.27 / $9.27	Professional		$9.27	$9.27	$9.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $6.47 / $8.40	Facility		$5.00	$6.47	$8.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $6.47 / $6.47	Professional		$5.00	$6.47	$6.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $6.47 / $7.15	Facility		$4.12	$6.47	$7.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.50 / $4.12	Professional		$3.50	$3.50	$4.12
United Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $3.67 / $5.43	Professional		$0.24	$3.67	$5.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $3.83 / $4.50	Professional		$3.83	$3.83	$4.50