Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $4.00 / $1,886.21	Facility		$1.91	$4.00	$1,886.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $2.79 / $3.83	Professional		$1.92	$2.79	$3.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $2.23 / $2.23	Professional		$1.59	$2.23	$2.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.77 / $114.10 / $227.65	Facility		$45.77	$114.10	$227.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.04 / $1.04 / $1.04	Professional		$1.04	$1.04	$1.04
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1.92 / $2.88 / $307.61	Facility		$1.92	$2.88	$307.61
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $2.79 / $42.57	Professional		$1.92	$2.79	$42.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,190.25 / $2,190.25 / $2,190.25	Facility		$2,190.25	$2,190.25	$2,190.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.79 / $2.79	Facility		$2.63	$2.79	$2.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.79 / $2.79	Professional		$2.79	$2.79	$2.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $224.85 / $224.85	Facility		$75.00	$224.85	$224.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,837.68 / $1,837.68 / $1,837.68	Professional		$1,837.68	$1,837.68	$1,837.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.59 / $2.93 / $48.26	Facility		$1.59	$2.93	$48.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.85 / $44.79	Professional		$2.79	$2.85	$44.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $3.21 / $78.00	Professional		$2.68	$3.21	$78.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.79 / $2.90 / $47.45	Facility		$2.79	$2.90	$47.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $2.79 / $2.86	Professional		$2.66	$2.79	$2.86
United Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.96 / $3.12	Professional		$2.79	$2.96	$3.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $2.79 / $3.91	Professional		$1.59	$2.79	$3.91