Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $12.83 / $718.56	Facility		$6.73	$12.83	$718.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.80 / $9.24	Professional		$6.73	$6.80	$9.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Professional		$14.00	$14.00	$14.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.87 / $208.55 / $416.12	Facility		$84.87	$208.55	$416.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $7.76	Professional		$7.76	$7.76	$7.76
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $69.50 / $395.97	Facility		$15.33	$69.50	$395.97
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $13.46 / $100.73	Professional		$6.98	$13.46	$100.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $128.09 / $128.09 / $128.09	Facility		$128.09	$128.09	$128.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $6.73 / $10.66	Facility		$6.35	$6.73	$10.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $6.98	Professional		$6.73	$6.73	$6.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $112.37 / $263.70 / $274.26	Facility		$112.37	$263.70	$274.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,103.23 / $2,103.23 / $2,103.23	Professional		$2,103.23	$2,103.23	$2,103.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $8.58 / $105.96	Facility		$6.73	$8.58	$105.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.86 / $15.65	Professional		$6.73	$6.86	$15.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $7.40 / $141.30	Professional		$6.01	$7.40	$141.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $8.50 / $104.74	Facility		$6.73	$8.50	$104.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $10.29	Professional		$6.73	$6.73	$10.29
United Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $7.13 / $7.54	Professional		$6.73	$7.13	$7.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $6.73 / $9.42	Professional		$6.66	$6.73	$9.42