Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $52.48	Facility		$11.75	$11.75	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $173.78	Professional		$5.01	$5.01	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $17.38	Professional		$6.31	$6.31	$17.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $7.24 / $18.62	Facility		$2.19	$7.24	$18.62
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Professional		$9.55	$9.55	$9.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $27.54 / $34.67	Professional		$24.55	$27.54	$34.67
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 $18.62 / $18.62 / $52.48	Facility		$18.62	$18.62	$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 $5.62 / $8.71 / $8.71	Professional		$5.62	$8.71	$8.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $79.43 / $2,398,832.92	Professional		$11.75	$79.43	$2,398,832.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Professional		$4.07	$4.07	$4.07