Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $14.28 / $244.17	Facility		$10.58	$14.28	$244.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $10.58 / $10.58	Professional		$10.58	$10.58	$10.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.47 / $439.21 / $704.59	Facility		$197.47	$439.21	$704.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.31 / $240.00 / $363.85	Professional		$218.31	$240.00	$363.85
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $219.72 / $219.72 / $235.00	Facility		$219.72	$219.72	$235.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.85 / $253.47 / $476.22	Facility		$46.85	$253.47	$476.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.44 / $255.54 / $752.90	Professional		$204.44	$255.54	$752.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $10.58 / $15.13	Facility		$10.58	$10.58	$15.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $1,284.25 / $59,999.40	Professional		$11.78	$1,284.25	$59,999.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $46.85 / $434.18	Facility		$10.58	$46.85	$434.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $752.90 / $2,400,000.00	Professional		$300.00	$752.90	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $425.00 / $700.00	Professional		$300.00	$425.00	$700.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $194.25	Professional		$150.00	$150.00	$194.25