Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.21 / $71.42 / $960.27	Facility		$5.21	$71.42	$960.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $78.30 / $199.95	Professional		$8.88	$78.30	$199.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $3.13 / $5.22	Professional		$2.50	$3.13	$5.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.90 / $16.64 / $30.80	Facility		$5.90	$16.64	$30.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.77 / $5.00 / $5.50	Professional		$2.77	$5.00	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $8.35 / $33.49	Facility		$5.22	$8.35	$33.49
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $5.21 / $8.86	Professional		$3.65	$5.21	$8.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $111.51 / $111.51	Facility		$5.22	$111.51	$111.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.65 / $11.46 / $26.43	Facility		$3.65	$11.46	$26.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.77 / $3.81 / $8.75	Professional		$2.77	$3.81	$8.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $105.81 / $134.53 / $134.53	Facility		$105.81	$134.53	$134.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4.65 / $7.55 / $8.58	Professional		$4.65	$7.55	$8.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.18 / $5.22 / $9.02	Facility		$4.18	$5.22	$9.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.70 / $5.22 / $6.80	Professional		$4.70	$5.22	$6.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $192.65 / $263.66 / $585.01	Facility		$192.65	$263.66	$585.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.18 / $5.22 / $12.23	Facility		$4.18	$5.22	$12.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.77 / $4.01 / $7.54	Professional		$2.77	$4.01	$7.54
United Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $3.01 / $4.48	Professional		$2.19	$3.01	$4.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.58 / $5.22	Professional		$2.04	$2.58	$5.22