Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.61 / $75.04 / $208.04	Facility		$7.61	$75.04	$208.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $3.84 / $5.86	Professional		$2.56	$3.84	$5.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.56 / $3.27	Professional		$2.04	$2.56	$3.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.83 / $11.55 / $23.95	Facility		$4.83	$11.55	$23.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $4.09 / $5.50	Professional		$2.35	$4.09	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $7.05 / $75.20	Facility		$4.05	$7.05	$75.20
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $4.26 / $6.83	Professional		$3.42	$4.26	$6.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.48 / $4.48	Facility		$4.26	$4.48	$4.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.29 / $9.40 / $21.14	Facility		$3.29	$9.40	$21.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $3.28 / $7.11	Professional		$2.25	$3.28	$7.11
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 $3.57 / $5.29 / $18.00	Professional		$3.57	$5.29	$18.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $4.26 / $57.27	Facility		$3.42	$4.26	$57.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $4.26 / $6.95	Professional		$3.84	$4.26	$6.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,567.00 / $2,379.27 / $3,569.99	Facility		$1,567.00	$2,379.27	$3,569.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $4.26 / $10.63	Facility		$3.42	$4.26	$10.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $3.33 / $6.11	Professional		$2.25	$3.33	$6.11
United Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $4.26 / $5.12	Facility		$2.50	$4.26	$5.12
United Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $2.47 / $4.24	Professional		$1.79	$2.47	$4.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $2.11 / $4.26	Professional		$1.67	$2.11	$4.26