Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $14.13 / $43.65	Facility		$2.75	$14.13	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.69 / $7.08	Professional		$2.00	$2.69	$7.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $2.19 / $5.62	Professional		$1.51	$2.19	$5.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $11.75 / $19.95	Facility		$4.47	$11.75	$19.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.88 / $5.50	Professional		$2.00	$2.88	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.63 / $14.13	Facility		$3.39	$3.63	$14.13
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.47 / $5.75	Professional		$2.45	$3.47	$5.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Facility		$3.63	$3.63	$3.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $6.61 / $16.98	Facility		$3.02	$6.61	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.09 / $5.62	Professional		$1.82	$2.09	$5.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.39 / $5.37	Professional		$3.02	$3.39	$5.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $3.63 / $28.84	Facility		$2.63	$3.63	$28.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.02 / $5.37	Professional		$2.00	$3.02	$5.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.09 / $3.09	Professional		$2.75	$3.09	$3.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $31.62 / $31.62	Facility		$17.78	$31.62	$31.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $3.63 / $10.23	Facility		$2.63	$3.63	$10.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.19 / $5.50	Professional		$1.82	$2.19	$5.50
United Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $2.00 / $3.63	Facility		$1.32	$2.00	$3.63
United Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.78 / $2.95	Professional		$1.51	$1.78	$2.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $3.63	Professional		$1.41	$1.41	$3.63