Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.27 / $0.74	Facility		$0.20	$0.27	$0.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.26 / $0.32	Professional		$0.15	$0.26	$0.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $68.00 / $68.00	Professional		$17.00	$68.00	$68.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.25 / $0.25	Professional		$0.25	$0.25	$0.25
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.33 / $0.36	Professional		$0.33	$0.33	$0.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $50.40 / $50.40 / $50.40	Facility		$50.40	$50.40	$50.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.85 / $0.85 / $85.00	Facility		$0.85	$0.85	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.72 / $0.72	Professional		$0.72	$0.72	$0.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $3.68 / $12.00	Professional		$3.54	$3.68	$12.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $0.41 / $0.62	Facility		$0.25	$0.41	$0.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.31 / $0.31	Professional		$0.21	$0.31	$0.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $0.41 / $0.60	Facility		$0.25	$0.41	$0.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.72 / $0.72	Professional		$0.19	$0.72	$0.72
United Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.22 / $0.38	Professional		$0.18	$0.22	$0.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.26 / $0.35	Professional		$0.15	$0.26	$0.35