Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.88 / $61.37 / $213.84	Facility		$6.88	$61.37	$213.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $4.65 / $9.24	Professional		$3.21	$4.65	$9.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $3.11 / $5.18	Professional		$2.49	$3.11	$5.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.59 / $16.04 / $29.61	Facility		$5.59	$16.04	$29.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $5.00 / $5.50	Professional		$2.75	$5.00	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $4.92 / $8.02 / $106.03	Facility		$4.92	$8.02	$106.03
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.21 / $8.07	Professional		$3.63	$5.21	$8.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $5.44 / $5.44	Facility		$5.18	$5.44	$5.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.62 / $11.39 / $26.43	Facility		$3.62	$11.39	$26.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.81 / $8.75	Professional		$2.75	$3.81	$8.75
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 $4.65 / $7.55 / $8.58	Professional		$4.65	$7.55	$8.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $5.18 / $9.40	Facility		$4.13	$5.18	$9.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $5.18 / $6.75	Professional		$4.88	$5.18	$6.75
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $640.04 / $1,465.41 / $2,289.50	Facility		$640.04	$1,465.41	$2,289.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $5.18 / $12.89	Facility		$4.13	$5.18	$12.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.98 / $7.48	Professional		$2.75	$3.98	$7.48
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.99 / $4.22	Professional		$2.18	$2.99	$4.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.56 / $5.18	Professional		$2.02	$2.56	$5.18