Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.22 / $246.23 / $332.41	Facility		$180.22	$246.23	$332.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.71 / $246.23 / $246.23	Professional		$119.71	$246.23	$246.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.10 / $400.37 / $746.20	Facility		$144.10	$400.37	$746.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.90 / $151.50 / $178.23	Professional		$90.90	$151.50	$178.23
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $164.80 / $198.34 / $708.33	Facility		$164.80	$198.34	$708.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.09 / $253.47 / $476.22	Facility		$18.09	$253.47	$476.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $164.01 / $224.10 / $224.10	Facility		$164.01	$224.10	$224.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $306.64 / $306.64 / $316.77	Professional		$306.64	$306.64	$316.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $178.47 / $246.23 / $692.83	Facility		$178.47	$246.23	$692.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59,999.40 / $59,999.40 / $59,999.40	Professional		$59,999.40	$59,999.40	$59,999.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.77 / $246.23 / $579.54	Facility		$65.77	$246.23	$579.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,400,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$2,400,000.00	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.65 / $133.65 / $133.65	Professional		$133.65	$133.65	$133.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $168.75	Professional		$125.00	$125.00	$168.75