Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $29.51 / $97.72	Facility		$5.50	$29.51	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.90 / $7.59	Professional		$3.02	$4.90	$7.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.39 / $4.68	Professional		$2.75	$3.39	$4.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $18.62 / $33.11	Facility		$7.41	$18.62	$33.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.37 / $5.50	Professional		$3.02	$4.37	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $7.94 / $77.62	Facility		$5.01	$7.94	$77.62
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.50 / $8.91	Professional		$3.63	$5.50	$8.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.75 / $5.75	Facility		$5.50	$5.75	$5.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $12.02 / $29.51	Facility		$5.37	$12.02	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.98 / $11.75	Professional		$2.95	$3.98	$11.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $100.00	Facility		$60.26	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $5.50 / $70.79	Facility		$4.37	$5.50	$70.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.01 / $7.59	Professional		$3.02	$5.01	$7.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.68 / $4.68	Professional		$4.17	$4.68	$4.68
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $97.72	Facility		$52.48	$52.48	$97.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $5.50 / $16.22	Facility		$4.47	$5.50	$16.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.98 / $9.33	Professional		$3.16	$3.98	$9.33
United Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $3.72 / $5.50	Facility		$2.00	$3.72	$5.50
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.24 / $4.79	Professional		$2.29	$3.24	$4.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $5.50	Professional		$2.14	$2.14	$5.50