Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.78 / $57.66 / $105.30	Facility		$41.78	$57.66	$105.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.38 / $50.38 / $50.38	Professional		$50.38	$50.38	$50.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.97 / $96.03 / $184.60	Facility		$36.97	$96.03	$184.60
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $69.73 / $90.00	Facility		$25.20	$69.73	$90.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $83.14 / $175.22	Facility		$17.00	$83.14	$175.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $100.00	Facility		$65.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.38 / $50.38 / $72.04	Facility		$50.38	$50.38	$72.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.73 / $50.38 / $158.69	Facility		$20.73	$50.38	$158.69
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
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $33.02	Professional		$25.50	$25.50	$33.02