Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $91.20 / $407.38	Facility		$3.72	$91.20	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.39 / $218.78	Professional		$2.00	$3.39	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.02 / $3.31	Professional		$2.75	$3.02	$3.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $9.12 / $17.78	Facility		$3.72	$9.12	$17.78
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 / $6.76 / $141.25	Facility		$2.00	$6.76	$141.25
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.80 / $11.48	Professional		$3.02	$3.80	$11.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.75 / $2.75	Facility		$2.63	$2.75	$2.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Professional		$2.75	$2.75	$2.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $177.83	Professional		$102.33	$102.33	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $3.63 / $9.33	Facility		$2.75	$3.63	$9.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.82 / $120.23	Professional		$2.00	$2.82	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.72 / $4.27	Professional		$3.31	$3.72	$4.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $6.76 / $30.20	Professional		$2.95	$6.76	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $3.72 / $8.51	Facility		$2.75	$3.72	$8.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $3.89	Professional		$2.75	$2.75	$3.89
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.95 / $5.62	Professional		$2.75	$2.95	$5.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $3.47	Professional		$2.75	$2.75	$3.47