Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $8.91 / $1,096.48	Facility		$6.61	$8.91	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $8.91 / $12.02	Professional		$5.37	$8.91	$12.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $10.00 / $12.88	Professional		$6.17	$10.00	$12.88
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 $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Facility		$10.23	$10.23	$10.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Professional		$7.41	$7.41	$7.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $100.00 / $100.00	Professional		$93.33	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $13.49 / $21.88	Facility		$7.59	$13.49	$21.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $8.91 / $12.02	Professional		$5.37	$8.91	$12.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.90 / $38.90	Professional		$30.20	$30.90	$38.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $14.13 / $22.39	Facility		$7.94	$14.13	$22.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Professional		$7.41	$7.41	$7.41
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.59 / $13.18	Professional		$6.31	$7.59	$13.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $16.22	Professional		$13.80	$13.80	$16.22