Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $52.48	Facility		$12.30	$12.30	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $6.17 / $17.38	Professional		$2.51	$6.17	$17.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.51 / $1.74 / $190.55	Facility		$0.51	$1.74	$190.55
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.60 / $16.60	Professional		$14.79	$16.60	$16.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $4.68 / $4.68	Facility		$4.68	$4.68	$4.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $95.50 / $128.82	Facility		$1.70	$95.50	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $20.42 / $41.69	Professional		$12.30	$20.42	$41.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $23.99 / $39.81	Facility		$15.85	$23.99	$39.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $12.30 / $60,255.96	Professional		$1.82	$12.30	$60,255.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $16.60 / $16.60	Professional		$10.72	$16.60	$16.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $23.99 / $128.82	Facility		$2.00	$23.99	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $19.95 / $41.69	Professional		$12.30	$19.95	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $12.30 / $14.45	Facility		$8.32	$12.30	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $10.47 / $24.55	Professional		$9.77	$10.47	$24.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $7.94	Professional		$7.76	$7.76	$7.94