Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $14.88 / $275.20	Facility		$2.29	$14.88	$275.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.31 / $44.43	Professional		$2.29	$2.31	$44.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $2.73	Professional		$1.95	$1.95	$2.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $6.20 / $12.34	Facility		$2.45	$6.20	$12.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $2.76 / $2.76	Professional		$2.76	$2.76	$2.76
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $2.24 / $121.81	Facility		$1.95	$2.24	$121.81
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.44 / $4.26	Professional		$2.04	$2.44	$4.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $9.65 / $9.65 / $9.65	Facility		$9.65	$9.65	$9.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.16 / $2.29 / $2.29	Facility		$2.16	$2.29	$2.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $2.38	Professional		$2.29	$2.29	$2.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $486.39 / $486.39	Facility		$75.00	$486.39	$486.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $146.66 / $152.53	Professional		$108.00	$146.66	$152.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $2.31 / $9.90	Facility		$1.95	$2.31	$9.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.34 / $4.09	Professional		$2.29	$2.34	$4.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $2.52 / $4.20	Professional		$2.16	$2.52	$4.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.15 / $2.31 / $9.23	Facility		$2.15	$2.31	$9.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $3.03	Professional		$2.29	$2.29	$3.03
United Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $4.72 / $4.72	Facility		$3.49	$4.72	$4.72
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.43 / $11.44	Professional		$2.29	$2.43	$11.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.29 / $3.21	Professional		$1.95	$2.29	$3.21