Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.46 / $40.04	Facility		$0.19	$0.46	$40.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.19 / $0.93	Professional		$0.19	$0.19	$0.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $23.00 / $32.00	Professional		$19.00	$23.00	$32.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $1.43 / $3.05	Facility		$0.59	$1.43	$3.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.35 / $0.35	Professional		$0.35	$0.35	$0.35
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.33 / $15.45	Facility		$0.23	$0.33	$15.45
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.33 / $5.09	Professional		$0.20	$0.33	$5.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Facility		$4.69	$4.69	$4.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $0.18 / $0.18	Facility		$0.17	$0.18	$0.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.20	Professional		$0.18	$0.18	$0.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $360.42 / $360.42	Facility		$75.00	$360.42	$360.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $155.58 / $155.58 / $155.58	Professional		$155.58	$155.58	$155.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.25 / $10.06	Facility		$0.19	$0.25	$10.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.21 / $0.42	Professional		$0.19	$0.21	$0.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.20 / $1.10	Professional		$0.15	$0.20	$1.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.24 / $9.91	Facility		$0.19	$0.24	$9.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.43	Professional		$0.18	$0.18	$0.43
United Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.20 / $4.12	Professional		$0.19	$0.20	$4.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.23 / $0.27	Professional		$0.19	$0.23	$0.27