Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $3.02	Facility		$2.00	$2.00	$3.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $3.02	Professional		$1.00	$2.00	$3.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.51 / $2.95	Professional		$2.51	$2.51	$2.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $5.37 / $12.30	Facility		$3.39	$5.37	$12.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $2.14	Professional		$2.14	$2.14	$2.14
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.63 / $5.01	Professional		$2.75	$3.63	$5.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $4.57 / $79.43	Facility		$4.57	$4.57	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $2.69 / $2.75	Facility		$2.69	$2.69	$2.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $2.69	Professional		$2.29	$2.29	$2.69
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 $21.88 / $32.36 / $32.36	Professional		$21.88	$32.36	$32.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $3.72 / $6.17	Facility		$2.19	$3.72	$6.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $2.00 / $3.02	Professional		$1.51	$2.00	$3.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $3.80	Professional		$3.31	$3.31	$3.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $3.63 / $6.31	Facility		$2.19	$3.63	$6.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $3.31	Professional		$2.29	$2.29	$3.31
United Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.74 / $2.09	Facility		$1.23	$1.74	$2.09
United Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $2.04 / $2.69	Professional		$1.58	$2.04	$2.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.57 / $4.57	Professional		$4.57	$4.57	$4.57