Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.76 / $117.70 / $401.83	Facility		$1.76	$117.70	$401.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.76 / $2.60	Professional		$1.74	$1.76	$2.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $2.18	Professional		$2.18	$2.18	$2.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $4.92 / $10.71	Facility		$2.02	$4.92	$10.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1.67 / $1.74 / $146.56	Facility		$1.67	$1.74	$146.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $69.45 / $69.45 / $69.45	Facility		$69.45	$69.45	$69.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $1.74 / $1.74	Facility		$1.64	$1.74	$1.74
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 $85.00 / $100.00 / $100.00	Facility		$85.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $2.49 / $8.09	Facility		$1.74	$2.49	$8.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.53 / $1.88 / $6.00	Professional		$1.53	$1.88	$6.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.94 / $2.88	Professional		$1.74	$1.94	$2.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $1.74 / $4.21	Facility		$1.74	$1.74	$4.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Professional		$1.74	$1.74	$1.74
United Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Professional		$1.74	$1.74	$1.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.82 / $2.35	Professional		$1.74	$1.82	$2.35