Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $4.79 / $77.62	Professional		$1.00	$4.79	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $89.13 / $91.20	Professional		$10.96	$89.13	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Professional		$0.02	$0.02	$0.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.12 / $1.12	Professional		$1.12	$1.12	$1.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $6.61 / $6.61	Facility		$6.61	$6.61	$6.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.81 / $0.81	Professional		$0.38	$0.81	$0.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $1.05 / $1.32	Facility		$0.83	$1.05	$1.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $69.18	Professional		$1.00	$1.00	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $0.89 / $0.93	Professional		$0.89	$0.89	$0.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.93 / $1.26 / $1.38	Facility		$0.93	$1.26	$1.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.85 / $0.85	Professional		$0.85	$0.85	$0.85
United Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $1.20 / $1.20	Facility		$1.20	$1.20	$1.20
United Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $1.02 / $1.62	Professional		$0.78	$1.02	$1.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Professional		$1.26	$1.26	$1.26