Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $14.82 / $47.31	Facility		$3.78	$14.82	$47.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $3.80 / $6.00	Professional		$2.80	$3.80	$6.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Professional		$2.40	$2.40	$2.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $12.75 / $27.97	Facility		$5.00	$12.75	$27.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $5.00 / $5.50	Professional		$2.65	$5.00	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $8.00 / $29.26	Facility		$5.00	$8.00	$29.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $5.63	Facility		$5.00	$5.00	$5.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.50 / $10.64 / $25.12	Facility		$3.50	$10.64	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $3.61 / $8.21	Professional		$2.65	$3.61	$8.21
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 $4.00 / $5.00 / $7.16	Facility		$4.00	$5.00	$7.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $5.00 / $6.37	Professional		$4.59	$5.00	$6.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $9.85 / $12.75 / $257.07	Facility		$9.85	$12.75	$257.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $5.00 / $12.20	Facility		$4.00	$5.00	$12.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $3.80 / $7.07	Professional		$2.65	$3.80	$7.07
United Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $3.62 / $6.25	Facility		$1.75	$3.62	$6.25
United Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.80 / $4.13	Professional		$2.10	$2.80	$4.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.41 / $5.00	Professional		$1.95	$2.41	$5.00