Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.20 / $40.65 / $112.70	Facility		$6.20	$40.65	$112.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $4.59 / $5.68	Professional		$3.10	$4.59	$5.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $3.10 / $3.58	Professional		$1.39	$3.10	$3.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.40 / $17.03 / $30.86	Facility		$6.40	$17.03	$30.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $4.59 / $5.50	Professional		$2.84	$4.59	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $5.68 / $8.26 / $31.64	Facility		$5.68	$8.26	$31.64
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $5.16 / $8.26	Professional		$3.87	$5.16	$8.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $5.11 / $5.11 / $5.16	Facility		$5.11	$5.11	$5.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.60 / $11.17 / $26.43	Facility		$3.60	$11.17	$26.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $4.01 / $10.74	Professional		$2.73	$4.01	$10.74
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 $4.63 / $7.55 / $8.58	Professional		$4.63	$7.55	$8.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $5.16 / $8.31	Facility		$4.13	$5.16	$8.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $5.16 / $7.15	Professional		$4.63	$5.16	$7.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $95.32 / $130.43 / $288.37	Facility		$95.32	$130.43	$288.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $5.16 / $12.86	Facility		$4.13	$5.16	$12.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $4.01 / $7.48	Professional		$2.73	$4.01	$7.48
United Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $5.16 / $6.19	Facility		$3.02	$5.16	$6.19
United Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $2.96 / $4.26	Professional		$2.17	$2.96	$4.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $5.16	Professional		$2.54	$2.54	$5.16