Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $19.05 / $56.23	Facility		$5.62	$19.05	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $7.24	Professional		$5.01	$5.01	$7.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Professional		$5.50	$5.50	$5.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.93 / $2.09 / $4.37	Facility		$0.93	$2.09	$4.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $0.93 / $0.93	Professional		$0.93	$0.93	$0.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Facility		$5.01	$5.01	$5.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $5.50 / $5.50	Facility		$5.25	$5.50	$5.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Professional		$5.50	$5.50	$5.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $10.72 / $74.13	Facility		$5.50	$10.72	$74.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.01 / $6.17	Professional		$4.79	$5.01	$6.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.62	Professional		$5.01	$5.01	$5.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $7.94 / $19.50	Facility		$2.88	$7.94	$19.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Professional		$6.17	$6.17	$6.17
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Professional		$5.50	$5.50	$5.50