Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $118.90 / $22,097.59	Facility		$116.00	$118.90	$22,097.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $118.90 / $123.25	Professional		$116.00	$118.90	$123.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $6,948.22	Facility		$5,456.92	$5,821.21	$6,948.22
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $235.62 / $235.62 / $252.00	Facility		$235.62	$235.62	$252.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.25 / $123.25 / $123.25	Facility		$123.25	$123.25	$123.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.54 / $80.54 / $123.25	Professional		$80.54	$80.54	$123.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $124.70 / $210.25 / $210.25	Facility		$124.70	$210.25	$210.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $319.00 / $319.00 / $319.00	Professional		$319.00	$319.00	$319.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $123.25 / $329.25	Facility		$116.00	$123.25	$329.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $123.25 / $329.25	Facility		$116.00	$123.25	$329.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.25 / $2,250,000.00 / $2,400,000.00	Professional		$123.25	$2,250,000.00	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $60.75	Professional		$45.00	$45.00	$60.75