Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $93.96 / $925.63	Facility		$0.59	$93.96	$925.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $0.63 / $2,003.05	Professional		$0.48	$0.63	$2,003.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $53.00 / $63.00	Professional		$38.00	$53.00	$63.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.42 / $6.13 / $12.22	Facility		$2.42	$6.13	$12.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.01 / $1.01 / $1.01	Professional		$1.01	$1.01	$1.01
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $0.99 / $1,048.60	Facility		$0.99	$0.99	$1,048.60
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.88 / $2.36	Professional		$0.38	$0.88	$2.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $42.57 / $42.57 / $42.57	Facility		$42.57	$42.57	$42.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $0.60 / $0.60	Facility		$0.59	$0.60	$0.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
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 $1,046.63 / $1,046.63 / $1,046.63	Professional		$1,046.63	$1,046.63	$1,046.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.38 / $0.63 / $16.05	Facility		$0.38	$0.63	$16.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.64 / $1.62	Professional		$0.63	$0.64	$1.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.75 / $10.70	Professional		$0.63	$0.75	$10.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $0.63 / $7.36	Facility		$0.63	$0.63	$7.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.99	Professional		$0.60	$0.60	$0.99
United Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.67 / $5.30	Professional		$0.63	$0.67	$5.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.63 / $0.88	Professional		$0.38	$0.63	$0.88