Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $15.14 / $26.30	Facility		$0.33	$15.14	$26.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $19.05 / $21.88	Professional		$1.10	$19.05	$21.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $41.69	Professional		$2.00	$2.00	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $0.68 / $85.11 / $104.71	Facility		$0.68	$85.11	$104.71
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.76 / $0.76	Professional		$0.68	$0.76	$0.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Facility		$3.98	$3.98	$3.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $3.39	Professional		$3.39	$3.39	$3.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $7.41	Professional		$3.98	$3.98	$7.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $0.79 / $1.32	Facility		$0.42	$0.79	$1.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $21.88 / $22.91	Professional		$0.62	$21.88	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $50.12	Professional		$30.20	$30.20	$50.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.43 / $0.81 / $1.38	Facility		$0.43	$0.81	$1.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $3.39	Professional		$3.39	$3.39	$3.39
United Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.43 / $0.76	Professional		$0.36	$0.43	$0.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Professional		$7.41	$7.41	$7.41