Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.93 / $33.47 / $99.28	Facility		$6.93	$33.47	$99.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $4.30 / $5.45	Professional		$2.97	$4.30	$5.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $3.30 / $4.95	Professional		$1.40	$3.30	$4.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $13.41 / $27.52	Facility		$5.00	$13.41	$27.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $4.95 / $5.50	Professional		$2.72	$4.95	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $7.43 / $22.73	Facility		$4.46	$7.43	$22.73
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $4.86 / $7.92	Professional		$3.71	$4.86	$7.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $4.95 / $4.95	Facility		$4.95	$4.95	$4.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.46 / $10.88 / $25.12	Facility		$3.46	$10.88	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $3.85 / $10.23	Professional		$2.62	$3.85	$10.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $100.00	Facility		$50.00	$60.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $7.09 / $8.05	Professional		$4.36	$7.09	$8.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.96 / $4.95 / $11.00	Facility		$3.96	$4.95	$11.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $4.95 / $6.45	Professional		$4.46	$4.95	$6.45
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,036.10 / $1,483.79 / $2,453.00	Facility		$1,036.10	$1,483.79	$2,453.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.96 / $4.95 / $12.17	Facility		$3.96	$4.95	$12.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $3.85 / $7.09	Professional		$2.62	$3.85	$7.09
United Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $10.50 / $10.50	Facility		$10.50	$10.50	$10.50
United Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.84 / $4.25	Professional		$2.08	$2.84	$4.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $2.44 / $4.95	Professional		$2.44	$2.44	$4.95