Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $2.00 / $2.00	Facility		$1.95	$2.00	$2.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $2.00 / $3.02	Professional		$1.66	$2.00	$3.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.82 / $3.98	Professional		$1.95	$2.82	$3.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $4.47 / $10.96	Facility		$3.09	$4.47	$10.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $1.86	Professional		$1.86	$1.86	$1.86
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $2.95 / $3.02	Professional		$2.95	$2.95	$3.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $2.57 / $2.57	Facility		$2.57	$2.57	$2.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Professional		$2.19	$2.19	$2.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $85.11 / $85.11	Facility		$79.43	$85.11	$85.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $31.62 / $31.62	Professional		$22.91	$31.62	$31.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $3.72 / $5.89	Facility		$2.40	$3.72	$5.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $3.80	Professional		$2.00	$2.00	$3.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.34 / $2.69	Professional		$2.34	$2.34	$2.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $5.89 / $8.13	Professional		$3.39	$5.89	$8.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $3.63 / $6.17	Facility		$2.45	$3.63	$6.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $3.16	Professional		$2.19	$2.19	$3.16
United Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.95 / $2.57	Professional		$1.51	$1.95	$2.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $3.98 / $3.98	Professional		$1.86	$3.98	$3.98