Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.06 / $0.10	Facility		$0.02	$0.06	$0.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $5.00	Professional		$0.02	$0.02	$5.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $29.88 / $29.88 / $29.88	Professional		$29.88	$29.88	$29.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $13.57 / $13.57 / $13.57	Facility		$13.57	$13.57	$13.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $21.89 / $27.36	Professional		$21.89	$21.89	$27.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $15.26 / $45.43	Facility		$15.26	$15.26	$45.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $4.88 / $59,999.40	Professional		$4.88	$4.88	$59,999.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $15.26 / $45.43	Facility		$15.26	$15.26	$45.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $10.71 / $2,400,000.00	Professional		$4.05	$10.71	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $12.61 / $16.78	Professional		$12.61	$12.61	$16.78