Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.15 / $17.73 / $43.83	Facility		$4.15	$17.73	$43.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $4.23 / $5.49	Professional		$3.40	$4.23	$5.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $3.29 / $3.29	Professional		$2.64	$3.29	$3.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.49 / $16.91 / $31.02	Facility		$5.49	$16.91	$31.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $5.00 / $5.50	Professional		$2.91	$5.00	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $8.24 / $19.93	Facility		$5.22	$8.24	$19.93
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $5.49 / $8.24	Professional		$3.84	$5.49	$8.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $5.49 / $5.49 / $5.49	Facility		$5.49	$5.49	$5.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.84 / $10.92 / $24.15	Facility		$3.84	$10.92	$24.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $3.63 / $8.26	Professional		$2.84	$3.63	$8.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $85.85 / $100.00	Facility		$60.00	$85.85	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $5.49 / $7.14	Facility		$4.17	$5.49	$7.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $5.49 / $6.18	Professional		$4.94	$5.49	$6.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $133.29 / $162.03 / $306.00	Facility		$133.29	$162.03	$306.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $5.49 / $12.82	Facility		$4.17	$5.49	$12.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $3.84 / $6.86	Professional		$2.91	$3.84	$6.86
United Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.79 / $3.88	Professional		$2.31	$2.79	$3.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.34 / $5.49	Professional		$2.14	$2.34	$5.49