Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $5.25	Facility		$3.98	$3.98	$5.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.98 / $5.01	Professional		$2.00	$3.98	$5.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.72 / $6.03	Professional		$2.75	$3.72	$6.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Professional		$4.17	$4.17	$4.17
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $2.69	Professional		$2.69	$2.69	$2.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $4.17 / $6.61	Facility		$3.72	$4.17	$6.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.98 / $5.01	Professional		$2.00	$3.98	$5.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $81.28	Professional		$6.17	$6.17	$81.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $4.79 / $6.76	Facility		$3.89	$4.79	$6.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $3.80	Professional		$1.62	$1.62	$3.80
United Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Facility		$3.02	$3.02	$3.02
United Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $5.50 / $9.33	Professional		$2.95	$5.50	$9.33