Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $73.00 / $484.98	Facility		$3.13	$73.00	$484.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.16 / $62.23	Professional		$3.13	$3.16	$62.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $2.96 / $2.98	Professional		$2.96	$2.96	$2.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $4.38 / $16.01	Facility		$4.38	$4.38	$16.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $4.38 / $4.38	Professional		$4.38	$4.38	$4.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $10.67 / $10.67 / $152.38	Facility		$10.67	$10.67	$152.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $6.26 / $123.29	Professional		$3.01	$6.26	$123.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Facility		$120.00	$120.00	$120.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $3.13 / $3.13	Facility		$2.95	$3.13	$3.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $3.25	Professional		$3.13	$3.13	$3.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $2,529.12 / $2,529.12	Facility		$75.00	$2,529.12	$2,529.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $502.47 / $502.47 / $502.47	Professional		$502.47	$502.47	$502.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.96 / $3.99 / $150.87	Facility		$2.96	$3.99	$150.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.19 / $5.19	Professional		$3.13	$3.19	$5.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.95 / $18.20	Professional		$3.13	$3.95	$18.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $3.75 / $148.35	Facility		$3.13	$3.75	$148.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $4.91	Professional		$3.13	$3.13	$4.91
United Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.32 / $38.36	Professional		$3.13	$3.32	$38.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $3.13 / $4.38	Professional		$2.87	$3.13	$4.38