Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $19.95 / $81.28	Facility		$3.89	$19.95	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.17 / $6.03	Professional		$3.02	$4.17	$6.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.09 / $7.94	Professional		$2.45	$3.09	$7.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $16.98 / $29.51	Facility		$6.61	$16.98	$29.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $4.57 / $5.50	Professional		$2.82	$4.57	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $7.59 / $27.54	Facility		$4.68	$7.59	$27.54
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $5.13 / $8.13	Professional		$3.55	$5.13	$8.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Facility		$5.13	$5.13	$5.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $10.72 / $26.92	Facility		$4.79	$10.72	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.47 / $9.77	Professional		$2.69	$3.47	$9.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $100.00	Facility		$60.26	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.90 / $7.76	Professional		$4.27	$4.90	$7.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $5.13 / $54.95	Facility		$3.80	$5.13	$54.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.37 / $6.61	Professional		$3.02	$4.37	$6.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.27 / $4.27	Professional		$3.80	$4.27	$4.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $263.03 / $263.03	Facility		$147.91	$263.03	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $5.13 / $14.13	Facility		$3.98	$5.13	$14.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.47 / $8.13	Professional		$2.75	$3.47	$8.13
United Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $3.02 / $5.13	Facility		$1.82	$3.02	$5.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.82 / $4.17	Professional		$2.14	$2.82	$4.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $5.13	Professional		$2.00	$2.00	$5.13