Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $53.34 / $84.17	Facility		$4.13	$53.34	$84.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $3.61 / $7.65	Professional		$2.66	$3.61	$7.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.27 / $2.27	Professional		$2.27	$2.27	$2.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $14.63 / $27.84	Facility		$5.13	$14.63	$27.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $4.75 / $5.50	Professional		$2.52	$4.75	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $7.60 / $30.99	Facility		$4.51	$7.60	$30.99
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $4.67 / $7.13	Professional		$2.85	$4.67	$7.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $4.65 / $4.65 / $4.75	Facility		$4.65	$4.65	$4.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.32 / $10.44 / $23.80	Facility		$3.32	$10.44	$23.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $3.46 / $8.21	Professional		$2.52	$3.46	$8.21
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 $3.80 / $4.75 / $7.16	Facility		$3.80	$4.75	$7.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.75 / $4.75	Professional		$4.04	$4.75	$4.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $4.75 / $11.83	Facility		$3.80	$4.75	$11.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $3.26 / $5.38	Professional		$1.08	$3.26	$5.38
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.72 / $4.98	Professional		$2.00	$2.72	$4.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $2.34 / $4.75	Professional		$1.85	$2.34	$4.75