Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.60 / $31.33 / $338.17	Facility		$2.60	$31.33	$338.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.49 / $22.12	Professional		$1.48	$1.49	$22.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Professional		$1.10	$1.10	$1.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $3.95 / $8.81	Facility		$1.66	$3.95	$8.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $1.66 / $1.66	Professional		$1.66	$1.66	$1.66
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $1.47 / $130.87	Facility		$1.33	$1.47	$130.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $31.64 / $31.64 / $31.64	Facility		$31.64	$31.64	$31.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.39 / $1.48 / $1.48	Facility		$1.39	$1.48	$1.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $1.48	Professional		$1.48	$1.48	$1.48
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 $8.56 / $22.14 / $22.14	Professional		$8.56	$22.14	$22.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.47 / $2.12 / $10.05	Facility		$1.47	$2.12	$10.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.53 / $1.85	Professional		$1.48	$1.53	$1.85
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $208.33 / $285.07 / $879.00	Facility		$208.33	$285.07	$879.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $1.59 / $2.41	Professional		$1.46	$1.59	$2.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $1.48 / $3.39	Facility		$1.48	$1.48	$3.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $1.48	Professional		$1.48	$1.48	$1.48
United Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $1.48	Professional		$1.48	$1.48	$1.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $1.48 / $2.00	Professional		$1.47	$1.48	$2.00