Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $5.93 / $6.49	Facility		$4.57	$5.93	$6.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.01 / $8.01	Professional		$3.98	$6.01	$8.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.41 / $6.41 / $6.41	Professional		$6.41	$6.41	$6.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $10.26 / $25.08	Facility		$6.92	$10.26	$25.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.36 / $4.36	Professional		$4.36	$4.36	$4.36
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $6.86 / $6.86	Professional		$6.86	$6.86	$6.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.49 / $5.49 / $10.73	Facility		$5.49	$5.49	$10.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $4.67 / $4.67	Professional		$4.67	$4.67	$4.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $80.00 / $85.00	Facility		$18.57	$80.00	$85.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $45.57 / $45.57 / $68.63	Professional		$45.57	$45.57	$68.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.01 / $7.15 / $11.40	Facility		$6.01	$7.15	$11.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $8.69 / $9.15	Professional		$7.72	$8.69	$9.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $10.52 / $18.00	Professional		$6.80	$10.52	$18.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.09 / $7.19 / $11.45	Facility		$6.09	$7.19	$11.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $4.67 / $7.60	Professional		$4.67	$4.67	$7.60
United Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $4.21 / $5.56	Professional		$3.23	$4.21	$5.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $9.15 / $12.35	Professional		$4.05	$9.15	$12.35