Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.45 / $7.49 / $9.80	Facility		$4.45	$7.49	$9.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.49 / $5.98	Professional		$4.45	$4.49	$5.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.93 / $5.93 / $10.14	Facility		$5.93	$5.93	$10.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $5.93 / $5.93	Professional		$5.93	$5.93	$5.93
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $5.86 / $1,197.08	Facility		$4.00	$5.86	$1,197.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $4.45 / $4.45 / $80.00	Facility		$4.45	$4.45	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $4.45 / $4.45	Facility		$4.20	$4.45	$4.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.45 / $4.45	Professional		$4.45	$4.45	$4.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,033.47 / $1,033.47 / $1,033.47	Professional		$1,033.47	$1,033.47	$1,033.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.82 / $4.45 / $8.06	Facility		$3.82	$4.45	$8.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.54 / $7.34	Professional		$4.45	$4.54	$7.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $5.30 / $10.01	Professional		$4.45	$5.30	$10.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.97 / $4.45 / $8.25	Facility		$3.97	$4.45	$8.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.45 / $5.35	Professional		$4.45	$4.45	$5.35
United Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.72 / $4.95	Professional		$4.45	$4.72	$4.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $4.45 / $6.23	Professional		$4.28	$4.45	$6.23