Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $115.25 / $678.73	Facility		$0.96	$115.25	$678.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $0.96 / $1.82	Professional		$0.96	$0.96	$1.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $1.80 / $1.80	Professional		$1.80	$1.80	$1.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.86 / $1.04 / $2.41	Facility		$0.86	$1.04	$2.41
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 $0.67 / $4.05 / $152.71	Facility		$0.67	$4.05	$152.71
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $1.80 / $4.05	Professional		$1.80	$1.80	$4.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $1.04 / $1.04 / $80.00	Facility		$1.04	$1.04	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $0.96 / $0.96	Facility		$0.90	$0.96	$0.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $0.96 / $0.96	Professional		$0.96	$0.96	$0.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $100.00	Facility		$85.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $527.24 / $527.24 / $527.24	Professional		$527.24	$527.24	$527.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $1.57 / $2.06	Facility		$0.96	$1.57	$2.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.92 / $1.14 / $1.58	Professional		$0.92	$1.14	$1.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $1.13 / $1.71	Professional		$0.96	$1.13	$1.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $0.96 / $2.04	Facility		$0.96	$0.96	$2.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $0.96 / $1.50	Professional		$0.96	$0.96	$1.50
United Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $0.96 / $0.98	Professional		$0.96	$0.96	$0.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $1.20 / $1.80	Professional		$0.96	$1.20	$1.80