Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.50 / $55.93 / $137.19	Facility		$7.50	$55.93	$137.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $5.01 / $7.14	Professional		$3.81	$5.01	$7.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $3.79 / $5.78	Professional		$2.02	$3.79	$5.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.51 / $18.73 / $34.61	Facility		$7.51	$18.73	$34.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $5.00 / $5.50	Professional		$3.18	$5.00	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $5.20 / $8.60 / $72.59	Facility		$5.20	$8.60	$72.59
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $5.90 / $9.83	Professional		$4.34	$5.90	$9.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $5.66 / $5.66 / $5.78	Facility		$5.66	$5.66	$5.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.04 / $12.71 / $29.10	Facility		$4.04	$12.71	$29.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $4.49 / $12.28	Professional		$3.06	$4.49	$12.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $60.00	Facility		$50.00	$60.00	$60.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $7.43 / $9.93	Professional		$5.20	$7.43	$9.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $5.78 / $65.70	Facility		$4.51	$5.78	$65.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.78 / $10.49	Professional		$5.50	$5.78	$10.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $48.50 / $66.36 / $183.83	Facility		$48.50	$66.36	$183.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $5.78 / $15.97	Facility		$4.51	$5.78	$15.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $4.49 / $8.27	Professional		$3.06	$4.49	$8.27
United Facility/Professional Facility Modifier Low / Median / High Price $2.08 / $2.43 / $5.78	Facility		$2.08	$2.43	$5.78
United Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $3.31 / $5.78	Professional		$2.43	$3.31	$5.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $2.86 / $5.78	Professional		$2.86	$2.86	$5.78