Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.23 / $17.46 / $64.98	Facility		$3.23	$17.46	$64.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $3.69 / $5.12	Professional		$2.56	$3.69	$5.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.56	Professional		$2.04	$2.04	$2.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $13.58 / $25.58	Facility		$5.00	$13.58	$25.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $4.18 / $5.50	Professional		$2.25	$4.18	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $6.41 / $22.77	Facility		$4.05	$6.41	$22.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Facility		$4.26	$4.26	$4.26
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
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $4.26 / $6.36	Facility		$3.42	$4.26	$6.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $4.26 / $5.57	Professional		$3.84	$4.26	$5.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $783.00 / $783.00 / $783.00	Facility		$783.00	$783.00	$783.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $4.26 / $11.81	Facility		$3.42	$4.26	$11.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $3.58 / $6.17	Professional		$2.25	$3.58	$6.17
United Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $3.49 / $4.26	Professional		$2.56	$3.49	$4.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $2.11 / $4.26	Professional		$1.67	$2.11	$4.26