Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $22.68 / $129.05	Facility		$5.15	$22.68	$129.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.83 / $4.09	Professional		$1.81	$1.83	$4.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $2.52 / $13.23	Professional		$1.54	$2.52	$13.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.44 / $31.10 / $62.20	Facility		$12.44	$31.10	$62.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Professional		$3.89	$3.89	$3.89
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $2.90 / $57.07	Facility		$1.81	$2.90	$57.07
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $3.15 / $5.46	Professional		$1.99	$3.15	$5.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $16.89 / $16.89	Facility		$16.89	$16.89	$16.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.71 / $1.81 / $1.81	Facility		$1.71	$1.81	$1.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $1.88	Professional		$1.81	$1.81	$1.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $125.33 / $125.33 / $125.33	Professional		$125.33	$125.33	$125.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $2.52 / $9.27	Facility		$1.81	$2.52	$9.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.85 / $4.19	Professional		$1.81	$1.85	$4.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $8.60 / $27.40	Professional		$2.82	$8.60	$27.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $1.89 / $5.19	Facility		$1.81	$1.89	$5.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $4.40	Professional		$1.81	$1.81	$4.40
United Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.92 / $2.02	Professional		$1.81	$1.92	$2.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $2.44 / $2.95	Professional		$1.81	$2.44	$2.95