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 $5.01 / $5.01 / $79.43	Professional		$5.01	$5.01	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $4.57 / $26.92	Professional		$3.16	$4.57	$26.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $4.79 / $11.75	Facility		$2.04	$4.79	$11.75
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Facility		$7.41	$7.41	$7.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.18 / $35.48	Professional		$24.55	$28.18	$35.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $85.11	Facility		$50.12	$50.12	$85.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $52.48	Facility		$19.50	$19.50	$52.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.41 / $60,255.96	Professional		$5.01	$7.41	$60,255.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.94 / $7.94	Professional		$5.25	$7.94	$7.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $79.43 / $2,398,832.92	Professional		$12.30	$79.43	$2,398,832.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.72 / $3.72	Professional		$3.72	$3.72	$3.72