Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $4.68 / $1,905.46	Facility		$2.69	$4.68	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.69 / $81.28	Professional		$2.00	$2.69	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.82 / $3.72	Professional		$2.69	$2.82	$3.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $109.65 / $208.93	Facility		$45.71	$109.65	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.05 / $1.05	Professional		$1.05	$1.05	$1.05
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $42.66 / $83.18	Facility		$2.14	$42.66	$83.18
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $3.02 / $41.69	Professional		$2.14	$3.02	$41.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $2.69 / $2.69	Facility		$2.51	$2.69	$2.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $2.69	Professional		$2.69	$2.69	$2.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $3.09 / $57.54	Facility		$2.69	$3.09	$57.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $6.03	Professional		$2.00	$2.00	$6.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.74 / $2.00	Professional		$1.58	$1.74	$2.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $77.62 / $100.00	Professional		$2.69	$77.62	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $3.16 / $56.23	Facility		$2.69	$3.16	$56.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $2.75	Professional		$2.24	$2.24	$2.75
United Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.82 / $2.95	Professional		$2.69	$2.82	$2.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.69 / $3.39	Professional		$2.24	$2.69	$3.39