Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $83.63 / $363.97	Facility		$3.02	$83.63	$363.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.05 / $60.00	Professional		$3.02	$3.05	$60.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.02 / $3.15	Professional		$2.72	$3.02	$3.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $9.03 / $19.09	Facility		$3.80	$9.03	$19.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $1.55 / $1.55	Professional		$1.55	$1.55	$1.55
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $3.13 / $165.39	Facility		$2.00	$3.13	$165.39
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.40 / $9.74	Professional		$2.72	$3.40	$9.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Facility		$30.08	$30.08	$30.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $3.02 / $3.02	Facility		$2.85	$3.02	$3.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.13	Professional		$3.02	$3.02	$3.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $785.34 / $785.34	Facility		$75.00	$785.34	$785.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $102.61 / $171.39 / $178.24	Professional		$102.61	$171.39	$178.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $3.48 / $8.57	Facility		$2.72	$3.48	$8.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.08 / $9.89	Professional		$3.02	$3.08	$9.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $3.34 / $7.80	Professional		$2.84	$3.34	$7.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.26 / $8.57	Facility		$3.02	$3.26	$8.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $4.13	Professional		$3.02	$3.02	$4.13
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.20 / $5.32	Professional		$3.02	$3.20	$5.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $3.02 / $4.23	Professional		$2.99	$3.02	$4.23