Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $14.59 / $47.18	Facility		$2.31	$14.59	$47.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $2.72 / $3.51	Professional		$1.83	$2.72	$3.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $1.83 / $2.12	Professional		$1.46	$1.83	$2.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.76 / $8.51 / $17.32	Facility		$3.76	$8.51	$17.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $3.05 / $5.50	Professional		$1.62	$3.05	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $4.73 / $29.87	Facility		$2.82	$4.73	$29.87
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $3.00 / $5.19	Professional		$2.14	$3.00	$5.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.05	Facility		$3.02	$3.02	$3.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.13 / $6.72 / $15.88	Facility		$2.13	$6.72	$15.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $2.22 / $4.92	Professional		$1.62	$2.22	$4.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $100.00	Facility		$50.00	$60.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.44 / $3.05 / $4.66	Facility		$2.44	$3.05	$4.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.05 / $3.97	Professional		$2.75	$3.05	$3.97
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $14.19 / $103.24	Facility		$10.36	$14.19	$103.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.44 / $3.05 / $7.57	Facility		$2.44	$3.05	$7.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $2.34 / $4.40	Professional		$1.62	$2.34	$4.40
United Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $2.48 / $3.05	Professional		$1.83	$2.48	$3.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.19 / $1.50 / $3.05	Professional		$1.19	$1.50	$3.05