Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.38	Professional		$1.00	$1.00	$1.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.78 / $2.00	Professional		$1.17	$1.78	$2.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.89 / $0.89 / $1.17	Facility		$0.89	$0.89	$1.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $0.93 / $0.95	Professional		$0.93	$0.93	$0.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $79.43	Facility		$2.00	$2.00	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $1.17 / $1.45	Facility		$1.17	$1.17	$1.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.17	Professional		$1.00	$1.00	$1.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $85.11 / $85.11	Facility		$79.43	$85.11	$85.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.79 / $14.79	Professional		$9.77	$14.79	$14.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.66 / $2.75	Facility		$1.00	$1.66	$2.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.00	Professional		$1.00	$1.00	$2.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.62 / $2.88	Facility		$1.00	$1.62	$2.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.45	Professional		$1.00	$1.00	$1.45
United Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $0.83 / $1.32	Facility		$0.56	$0.83	$1.32
United Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $0.91 / $1.20	Professional		$0.71	$0.91	$1.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00