Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $8.91 / $380.19	Facility		$4.17	$8.91	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.07 / $42.66	Professional		$3.98	$4.07	$42.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.07 / $4.90	Professional		$3.47	$4.07	$4.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $12.88	Facility		$4.17	$4.17	$12.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Professional		$4.17	$4.17	$4.17
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $7.76 / $107.15	Facility		$3.47	$7.76	$107.15
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.37 / $13.49	Professional		$3.63	$4.37	$13.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $4.07 / $4.07	Facility		$3.89	$4.07	$4.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Professional		$4.07	$4.07	$4.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.57 / $9.77	Facility		$4.07	$4.57	$9.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $7.24	Professional		$3.98	$3.98	$7.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.17 / $4.79	Professional		$3.80	$4.17	$4.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $6.61 / $8.13	Professional		$4.07	$6.61	$8.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.79 / $10.00	Facility		$4.07	$4.79	$10.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $5.25	Professional		$3.89	$3.89	$5.25
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.37 / $6.61	Professional		$4.07	$4.37	$6.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $5.13	Professional		$4.07	$4.07	$5.13