Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $64.28 / $21,600.00	Facility		$32.96	$64.28	$21,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $33.29 / $7,843.20	Professional		$32.96	$33.29	$7,843.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $33.00 / $33.00	Professional		$29.91	$33.00	$33.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.47 / $69.53 / $137.08	Facility		$27.47	$69.53	$137.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.59 / $33.59 / $33.59	Professional		$33.59	$33.59	$33.59
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $27.66 / $31.78 / $12,005.59	Facility		$27.66	$31.78	$12,005.59
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $35.75 / $46.87	Professional		$31.78	$35.75	$46.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $10,447.58 / $10,447.58 / $10,447.58	Facility		$10,447.58	$10,447.58	$10,447.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.10 / $32.96 / $32.96	Facility		$31.10	$32.96	$32.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $32.96 / $32.96	Professional		$32.96	$32.96	$32.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $161.75 / $164.80	Facility		$75.00	$161.75	$164.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,942.31 / $1,942.31 / $1,942.31	Professional		$1,942.31	$1,942.31	$1,942.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $33.00 / $58.82	Facility		$32.96	$33.00	$58.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $33.61 / $55.50	Professional		$32.96	$33.61	$55.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $36.93 / $65.80	Professional		$32.96	$36.93	$65.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $32.96 / $60.33	Facility		$32.96	$32.96	$60.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $32.96 / $39.72	Professional		$32.96	$32.96	$39.72
United Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $32.96 / $32.96	Facility		$32.96	$32.96	$32.96
United Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $34.94 / $36.69	Professional		$32.96	$34.94	$36.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $32.96 / $46.14	Professional		$32.29	$32.96	$46.14