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 $4.05 / $5.72 / $86.57	Professional		$4.05	$5.72	$86.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $4.01 / $9.73	Facility		$2.29	$4.01	$9.73
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $10.89 / $10.89	Professional		$10.89	$10.89	$10.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $7.80 / $7.80 / $7.80	Facility		$7.80	$7.80	$7.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $26.02 / $32.53	Professional		$26.02	$26.02	$32.53
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 $16.66 / $17.27 / $17.27	Facility		$16.66	$17.27	$17.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $12.12 / $59,999.40	Professional		$3.60	$12.12	$59,999.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.66 / $17.27 / $17.27	Facility		$16.66	$17.27	$17.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $2,400,000.00 / $2,400,000.00	Professional		$6.40	$2,400,000.00	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $4.75 / $6.15	Professional		$4.59	$4.75	$6.15