Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.58 / $26.82 / $93.52	Facility		$4.58	$26.82	$93.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $5.38 / $6.63	Professional		$3.80	$5.38	$6.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $3.62 / $4.19	Professional		$2.11	$3.62	$4.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.39 / $19.42 / $36.11	Facility		$6.39	$19.42	$36.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $5.00 / $5.50	Professional		$3.20	$5.00	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $9.65 / $36.13	Facility		$6.03	$9.65	$36.13
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $5.66 / $9.65	Professional		$4.51	$5.66	$9.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Facility		$6.03	$6.03	$6.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $13.25 / $30.41	Facility		$4.21	$13.25	$30.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $4.33 / $12.79	Professional		$3.20	$4.33	$12.79
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 $4.82 / $6.03 / $9.00	Facility		$4.82	$6.03	$9.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.43 / $6.03 / $9.80	Professional		$5.43	$6.03	$9.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $14.09 / $18.22 / $38.13	Facility		$14.09	$18.22	$38.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.83 / $6.03 / $15.17	Facility		$4.83	$6.03	$15.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $4.63 / $7.56	Professional		$3.20	$4.63	$7.56
United Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $3.46 / $4.99	Professional		$2.52	$3.46	$4.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $2.98 / $6.03	Professional		$2.35	$2.98	$6.03