Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.17 / $19.23 / $176.00	Facility		$9.17	$19.23	$176.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $10.99 / $16.76	Professional		$6.93	$10.99	$16.76
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $19.07 / $19.07 / $19.07	Professional	CO	$19.07	$19.07	$19.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $37.85 / $75.70	Facility		$16.64	$37.85	$75.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $11.51 / $11.51	Professional		$10.19	$11.51	$11.51
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $15.97 / $44.21 / $120.00	Facility		$15.97	$44.21	$120.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $15.75 / $23.84	Professional		$13.89	$15.75	$23.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $14.43 / $15.57 / $15.57	Facility		$14.43	$15.57	$15.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $65.00 / $75.00	Facility		$55.00	$65.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.15 / $19.46 / $102.90	Professional		$10.15	$19.46	$102.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $80.00 / $100.00	Facility		$65.00	$80.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $91.95 / $119.55	Professional		$21.71	$91.95	$119.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.66 / $16.16 / $26.00	Facility		$9.66	$16.16	$26.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $18.14 / $27.75	Professional		$11.40	$18.14	$27.75
Moda Health Facility/Professional Professional Modifier CQ Low / Median / High Price $9.50 / $9.50 / $9.50	Professional	CQ	$9.50	$9.50	$9.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $15.02 / $28.64	Professional		$11.27	$15.02	$28.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $65.00 / $75.00	Facility		$55.00	$65.00	$75.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.15 / $21.29 / $105.33	Professional		$10.15	$21.29	$105.33
United Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $13.57 / $18.89	Professional		$11.88	$13.57	$18.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $13.89 / $80.00	Professional		$12.14	$13.89	$80.00