Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $19.50 / $93.33	Facility		$3.98	$19.50	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $3.31	Professional		$2.00	$2.00	$3.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Professional		$1.74	$1.74	$1.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $9.77 / $18.62	Facility		$4.17	$9.77	$18.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.09 / $3.09	Professional		$3.09	$3.09	$3.09
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $17.78 / $43.65	Facility		$2.34	$17.78	$43.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $2.04 / $2.04	Facility		$1.95	$2.04	$2.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $23.44 / $95.50	Facility		$2.51	$23.44	$95.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.69	Professional		$2.00	$2.00	$2.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $2.63	Professional		$2.14	$2.14	$2.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $3.02 / $16.60	Facility		$2.04	$3.02	$16.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $2.24	Professional		$1.95	$1.95	$2.24
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04