Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.27 / $1.67 / $27.78	Facility		$1.27	$1.67	$27.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.67 / $2.18	Professional		$1.07	$1.67	$2.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $1.52 / $2.52	Professional		$1.24	$1.52	$2.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.44 / $2.68 / $7.05	Facility		$1.44	$2.68	$7.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.21 / $1.21 / $1.35	Professional		$1.21	$1.21	$1.35
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $2.02 / $3.17	Professional		$1.64	$2.02	$3.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $210.99 / $210.99	Facility		$2.52	$210.99	$210.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.15 / $1.52 / $1.52	Facility		$1.15	$1.52	$1.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $1.57	Professional		$1.29	$1.29	$1.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $12.52 / $16.13	Professional		$12.52	$12.52	$16.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.69 / $1.86 / $2.52	Facility		$0.69	$1.86	$2.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $2.15 / $2.52	Professional		$1.55	$2.15	$2.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $1.70	Professional		$1.70	$1.70	$1.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.69 / $1.81 / $2.52	Facility		$0.69	$1.81	$2.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $1.99	Professional		$1.29	$1.29	$1.99
United Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $1.17 / $1.54	Professional		$0.90	$1.17	$1.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $1.02 / $2.52	Professional		$1.02	$1.02	$2.52