Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $7.08 / $7.41	Facility		$5.01	$7.08	$7.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.41 / $10.96	Professional		$5.01	$7.41	$10.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.90 / $52.48	Professional		$4.27	$4.90	$52.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $3.55	Professional		$2.14	$2.14	$3.55
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.47 / $11.22	Professional		$3.24	$3.47	$11.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $1.66 / $3.09	Facility		$1.66	$1.66	$3.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $8.51 / $8.51	Professional		$2.88	$8.51	$8.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $8.71 / $12.59	Facility		$5.01	$8.71	$12.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $7.08 / $10.96	Professional		$2.57	$7.08	$10.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $9.33	Professional		$8.91	$8.91	$9.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $10.96 / $13.18	Facility		$5.62	$10.96	$13.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.46 / $6.46	Professional		$4.79	$6.46	$6.46
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.23 / $15.49	Professional		$7.76	$10.23	$15.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59