Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.74 / $30.17 / $101.89	Facility		$4.74	$30.17	$101.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.92 / $9.02	Professional		$3.31	$4.92	$9.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $3.31 / $3.83	Professional		$2.48	$3.31	$3.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.83 / $18.18 / $33.17	Facility		$6.83	$18.18	$33.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $5.00 / $5.50	Professional		$2.92	$5.00	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $5.51 / $8.53 / $33.01	Facility		$5.51	$8.53	$33.01
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $5.51 / $8.27	Professional		$3.86	$5.51	$8.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $5.51 / $5.78 / $5.78	Facility		$5.51	$5.78	$5.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.85 / $12.10 / $27.75	Facility		$3.85	$12.10	$27.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $3.98 / $11.76	Professional		$2.92	$3.98	$11.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $100.00	Facility		$50.00	$60.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.41 / $5.51 / $8.33	Facility		$4.41	$5.51	$8.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $5.51 / $7.18	Professional		$4.96	$5.51	$7.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $52.52 / $75.00 / $97.04	Facility		$52.52	$75.00	$97.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.42 / $5.51 / $13.88	Facility		$4.42	$5.51	$13.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $4.24 / $7.91	Professional		$2.92	$4.24	$7.91
United Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $3.19 / $4.55	Professional		$2.31	$3.19	$4.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $2.72 / $5.51	Professional		$2.15	$2.72	$5.51