Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.85 / $9.05 / $14,703.59	Facility		$3.85	$9.05	$14,703.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.40 / $6.41	Professional		$4.36	$4.40	$6.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.36 / $4.36	Professional		$4.36	$4.36	$4.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $178.38 / $352.40	Facility		$70.48	$178.38	$352.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.04 / $1.04 / $1.04	Professional		$1.04	$1.04	$1.04
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $21.60 / $366.52	Facility		$14.40	$21.60	$366.52
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $6.10 / $60.81	Professional		$4.36	$6.10	$60.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,673.83 / $2,673.83 / $2,673.83	Facility		$2,673.83	$2,673.83	$2,673.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $4.36 / $8.43	Facility		$4.11	$4.36	$8.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.36 / $4.51	Professional		$4.36	$4.36	$4.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $78.41 / $359.05 / $359.05	Facility		$78.41	$359.05	$359.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,120.40 / $2,120.40 / $2,120.40	Professional		$2,120.40	$2,120.40	$2,120.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.73 / $4.58 / $69.47	Facility		$3.73	$4.58	$69.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.45 / $9.53	Professional		$4.36	$4.45	$9.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $4.79 / $102.20	Professional		$3.77	$4.79	$102.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $4.58 / $68.06	Facility		$4.36	$4.58	$68.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.36 / $6.16	Professional		$4.36	$4.36	$6.16
United Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.62 / $4.88	Professional		$4.36	$4.62	$4.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $4.36 / $6.10	Professional		$3.73	$4.36	$6.10