Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $2.00 / $34.67	Facility		$1.62	$2.00	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $2.63	Professional		$1.00	$2.00	$2.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.40 / $3.55	Professional		$1.74	$2.40	$3.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $3.39 / $9.33	Facility		$2.69	$3.39	$9.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $1.91 / $2.51	Facility		$1.58	$1.91	$2.51
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.51 / $2.57	Professional		$2.51	$2.51	$2.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Facility		$2.04	$2.04	$2.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Professional		$1.74	$1.74	$1.74
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 $16.98 / $25.70 / $25.70	Professional		$16.98	$25.70	$25.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $3.16 / $5.01	Facility		$2.04	$3.16	$5.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $3.31	Professional		$1.00	$2.00	$3.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $2.63	Professional		$2.29	$2.29	$2.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $4.79 / $6.76	Professional		$2.82	$4.79	$6.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $3.02 / $5.01	Facility		$2.04	$3.02	$5.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $2.69	Professional		$1.74	$1.74	$2.69
United Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.55 / $2.04	Professional		$1.20	$1.55	$2.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $3.47 / $3.47	Professional		$1.51	$3.47	$3.47