Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $25.70 / $51.29	Facility		$5.01	$25.70	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.76 / $15.14	Professional		$5.01	$6.76	$15.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.89 / $6.61	Professional		$3.80	$3.89	$6.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $26.92 / $46.77	Facility		$10.23	$26.92	$46.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.50 / $7.76	Professional		$5.01	$5.50	$7.76
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $11.75 / $38.02	Facility		$5.89	$11.75	$38.02
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $8.32 / $12.59	Professional		$5.50	$8.32	$12.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $7.94	Facility		$7.08	$7.08	$7.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $16.22 / $37.15	Facility		$7.59	$16.22	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.75 / $16.22	Professional		$4.17	$5.75	$16.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $7.41 / $11.75	Professional		$6.61	$7.41	$11.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $7.94 / $37.15	Facility		$5.75	$7.94	$37.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $7.08 / $15.85	Professional		$4.17	$7.08	$15.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $6.61 / $6.61	Professional		$5.89	$6.61	$6.61
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $676.08 / $758.58	Facility		$245.47	$676.08	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $7.94 / $22.91	Facility		$6.31	$7.94	$22.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.03 / $13.18	Professional		$4.47	$6.03	$13.18
United Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $4.68 / $7.94	Facility		$2.82	$4.68	$7.94
United Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.57 / $10.96	Professional		$3.31	$4.57	$10.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.09 / $7.94	Professional		$3.09	$3.09	$7.94