Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $12.84 / $71.55	Facility		$2.61	$12.84	$71.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.61 / $4.12	Professional		$2.06	$2.61	$4.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $2.06	Professional		$2.06	$2.06	$2.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.25 / $11.32 / $20.65	Facility		$4.25	$11.32	$20.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $3.43 / $5.50	Professional		$1.82	$3.43	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $3.43 / $3.43	Facility		$3.43	$3.43	$3.43
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.33 / $5.15	Professional		$2.40	$3.33	$5.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $3.43 / $3.96	Facility		$3.43	$3.43	$3.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.71 / $7.44 / $17.20	Facility		$2.71	$7.44	$17.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.64 / $6.02	Professional		$1.82	$2.64	$6.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $60.00	Facility		$50.00	$60.00	$60.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $3.43 / $5.26	Facility		$2.61	$3.43	$5.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.43 / $4.26	Professional		$3.09	$3.43	$4.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $154.80 / $207.55 / $211.83	Facility		$154.80	$207.55	$211.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.74 / $3.43 / $8.58	Facility		$2.74	$3.43	$8.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.89 / $4.97	Professional		$1.82	$2.89	$4.97
United Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $1.98 / $2.81	Professional		$1.44	$1.98	$2.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $1.70 / $3.43	Professional		$1.34	$1.70	$3.43