Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $60.27 / $424.29	Facility		$1.73	$60.27	$424.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.77 / $25.00	Professional		$1.69	$1.77	$25.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.40 / $2.29	Professional		$1.40	$1.40	$2.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.12 / $7.41 / $15.64	Facility		$3.12	$7.41	$15.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.45 / $1.45	Professional		$1.45	$1.45	$1.45
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2.33 / $6.40 / $149.22	Facility		$2.33	$6.40	$149.22
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $6.40 / $48.07	Professional		$1.75	$6.40	$48.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $57.88 / $57.88 / $57.88	Facility		$57.88	$57.88	$57.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.65 / $1.75 / $1.75	Facility		$1.65	$1.75	$1.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $1.82	Professional		$1.75	$1.75	$1.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $3,832.60 / $3,832.60	Facility		$75.00	$3,832.60	$3,832.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $372.00 / $535.45 / $553.08	Professional		$372.00	$535.45	$553.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.40 / $2.23 / $150.65	Facility		$1.40	$2.23	$150.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.79 / $2.93	Professional		$1.75	$1.79	$2.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.10 / $8.30	Professional		$1.75	$2.10	$8.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $2.19 / $149.18	Facility		$1.75	$2.19	$149.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $3.00	Professional		$1.75	$1.75	$3.00
United Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.71 / $2.71	Facility		$2.00	$2.71	$2.71
United Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.86 / $32.00	Professional		$1.75	$1.86	$32.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $1.75 / $2.45	Professional		$1.54	$1.75	$2.45