Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $104.26 / $25,310.46	Facility		$0.02	$104.26	$25,310.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,586.39 / $4,586.39 / $25,326.00	Professional		$4,586.39	$4,586.39	$25,326.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25,663.45 / $25,663.45 / $25,663.45	Professional		$25,663.45	$25,663.45	$25,663.45
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 $171.00 / $171.00 / $171.00	Professional		$171.00	$171.00	$171.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1.60 / $1.60 / $1.71	Facility		$1.60	$1.60	$1.71
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 $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.44 / $378.44 / $1,463.90	Professional		$378.44	$378.44	$1,463.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,576.51 / $1,576.51 / $1,576.51	Professional		$1,576.51	$1,576.51	$1,576.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $2,400,000.00	Facility		$64.00	$64.00	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00