Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $25.73 / $75.84	Facility		$4.21	$25.73	$75.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.56 / $2.13 / $4.22	Professional		$1.56	$2.13	$4.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.13 / $1.64 / $1.64	Professional		$1.13	$1.64	$1.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $5.77 / $12.63	Facility		$1.66	$5.77	$12.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $2.56 / $5.50	Professional		$1.30	$2.56	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2.13 / $2.37 / $5.33	Facility		$2.13	$2.37	$5.33
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $2.43 / $3.79	Professional		$1.90	$2.43	$3.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $2.37 / $2.37 / $2.37	Facility		$2.37	$2.37	$2.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.90 / $5.21 / $11.90	Facility		$1.90	$5.21	$11.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $2.48 / $5.11	Professional		$1.26	$2.48	$5.11
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 $2.02 / $2.89 / $4.05	Professional		$2.02	$2.89	$4.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.90 / $2.37 / $25.90	Facility		$1.90	$2.37	$25.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $2.37 / $4.38	Professional		$2.13	$2.37	$4.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $46.83 / $274.86	Facility		$31.67	$46.83	$274.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $2.37 / $6.41	Facility		$1.93	$2.37	$6.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $2.37 / $3.39	Professional		$1.26	$2.37	$3.39
United Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.94 / $2.37	Professional		$1.42	$1.94	$2.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.17 / $2.37	Professional		$1.17	$1.17	$2.37