Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $2.77 / $5.34	Facility		$1.22	$2.77	$5.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.23 / $1.92	Professional		$1.22	$1.23	$1.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.71 / $1.71	Professional		$1.59	$1.71	$1.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $24.95 / $80.37	Facility		$8.94	$24.95	$80.37
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 $37.14 / $37.14 / $37.14	Facility		$37.14	$37.14	$37.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $0.65 / $80.00	Facility		$0.65	$0.65	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.14 / $1.22 / $1.22	Facility		$1.14	$1.22	$1.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.26	Professional		$1.22	$1.22	$1.26
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 $1,917.60 / $1,917.60 / $1,917.60	Professional		$1,917.60	$1,917.60	$1,917.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $1.59 / $31.28	Facility		$1.22	$1.59	$31.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.24 / $2.00	Professional		$1.22	$1.24	$2.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $1.34 / $54.50	Professional		$0.68	$1.34	$54.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $1.24 / $31.28	Facility		$1.22	$1.24	$31.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $2.04	Professional		$1.22	$1.22	$2.04
United Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.29 / $1.37	Professional		$1.22	$1.29	$1.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.65 / $2.33	Professional		$1.22	$1.65	$2.33