Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $63.81 / $131.32	Facility		$4.75	$63.81	$131.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $3.27 / $4.28	Professional		$2.06	$3.27	$4.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $2.20 / $2.81	Professional		$1.22	$2.20	$2.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.18 / $11.71 / $21.95	Facility		$4.18	$11.71	$21.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $3.63 / $5.50	Professional		$2.02	$3.63	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $6.06 / $39.56	Facility		$3.49	$6.06	$39.56
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.85 / $5.87	Professional		$2.75	$3.85	$5.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $3.60 / $3.60 / $3.67	Facility		$3.60	$3.60	$3.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.56 / $7.99 / $18.51	Facility		$2.56	$7.99	$18.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $3.07 / $7.67	Professional		$1.95	$3.07	$7.67
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 $3.19 / $5.19 / $5.91	Professional		$3.19	$5.19	$5.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.94 / $3.67 / $7.11	Facility		$2.94	$3.67	$7.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.67 / $6.07	Professional		$3.30	$3.67	$6.07
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,567.00 / $2,806.58 / $4,393.83	Facility		$1,567.00	$2,806.58	$4,393.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.94 / $3.67 / $9.14	Facility		$2.94	$3.67	$9.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $3.30 / $5.29	Professional		$1.95	$3.30	$5.29
United Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $2.10 / $2.99	Professional		$1.54	$2.10	$2.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $3.67	Professional		$1.81	$1.81	$3.67