Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.37 / $62.76 / $922.12	Facility		$13.37	$62.76	$922.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $8.50 / $12.48	Professional		$2.27	$8.50	$12.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $1.88 / $6.36	Professional		$1.50	$1.88	$6.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $19.44 / $28.99	Facility		$13.00	$19.44	$28.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $10.45 / $57.88	Facility		$3.00	$10.45	$57.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $7.27 / $14.54	Professional		$3.12	$7.27	$14.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $8.40 / $8.40 / $8.57	Facility		$8.40	$8.40	$8.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $5.42 / $24.80	Facility		$2.29	$5.42	$24.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $3.00 / $9.08	Professional		$1.50	$3.00	$9.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $1,300.00 / $1,300.00	Facility		$85.00	$1,300.00	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $7.63 / $13.22	Professional		$3.00	$7.63	$13.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.15 / $9.09 / $38.00	Facility		$3.15	$9.09	$38.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $4.59 / $9.09	Professional		$2.64	$4.59	$9.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,818.00 / $4,602.25 / $7,948.34	Facility		$1,818.00	$4,602.25	$7,948.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $7.27 / $10.00	Facility		$2.27	$7.27	$10.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $3.00 / $8.56	Professional		$1.70	$3.00	$8.56
United Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $3.00 / $3.00	Professional		$1.80	$3.00	$3.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.20 / $9.09	Professional		$1.17	$1.20	$9.09