Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.77 / $99.20 / $407.84	Facility		$8.77	$99.20	$407.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $2.66 / $3.45	Professional		$2.15	$2.66	$3.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $1.79 / $2.27	Professional		$1.44	$1.79	$2.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.35 / $283.48 / $563.69	Facility		$83.35	$283.48	$563.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $2.61 / $5.50	Professional		$1.64	$2.61	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2.99 / $5.63 / $391.77	Facility		$2.99	$5.63	$391.77
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $3.00 / $4.78	Professional		$2.24	$3.00	$4.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $2.99 / $32.50 / $32.50	Facility		$2.99	$32.50	$32.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $6.38 / $14.53	Facility		$2.09	$6.38	$14.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $2.17 / $6.14	Professional		$1.58	$2.17	$6.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $60.00 / $60.00	Facility		$21.31	$60.00	$60.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $3.71 / $5.41	Professional		$2.61	$3.71	$5.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.48 / $2.99 / $176.68	Facility		$2.48	$2.99	$176.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.99 / $5.01	Professional		$2.69	$2.99	$5.01
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $420.13 / $653.47 / $2,815.90	Facility		$420.13	$653.47	$2,815.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.39 / $2.99 / $7.43	Facility		$2.39	$2.99	$7.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $2.29 / $4.26	Professional		$1.58	$2.29	$4.26
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.71 / $2.56	Professional		$1.26	$1.71	$2.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.48 / $2.99	Professional		$1.17	$1.48	$2.99