Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $52.48	Facility		$17.78	$17.78	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $144.54	Professional		$5.01	$5.01	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $17.78 / $75.86	Professional		$5.37	$17.78	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $7.94 / $177.83	Facility		$2.34	$7.94	$177.83
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Facility		$9.77	$9.77	$9.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.98 / $21.38	Professional		$14.79	$16.98	$21.38
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 $22.91 / $22.91 / $52.48	Facility		$22.91	$22.91	$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 $8.91 / $13.80 / $13.80	Professional		$8.91	$13.80	$13.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $79.43 / $2,398,832.92	Professional		$17.78	$79.43	$2,398,832.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $6.46	Professional		$6.31	$6.31	$6.46