Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $25.12 / $80.84	Facility		$4.59	$25.12	$80.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.83 / $6.05	Professional		$3.02	$3.83	$6.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.27 / $2.52	Professional		$2.27	$2.27	$2.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.53 / $13.36 / $26.46	Facility		$3.53	$13.36	$26.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.77 / $4.54 / $5.50	Professional		$2.77	$4.54	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $4.65 / $7.56 / $22.20	Facility		$4.65	$7.56	$22.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $5.04 / $5.04 / $5.04	Facility		$5.04	$5.04	$5.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $8.33 / $22.50	Facility		$3.43	$8.33	$22.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $3.74 / $7.75	Professional		$2.12	$3.74	$7.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $100.00	Facility		$50.00	$60.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.67 / $5.04 / $6.13	Facility		$3.67	$5.04	$6.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $5.04 / $5.04	Professional		$4.28	$5.04	$5.04
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,085.20 / $1,584.50 / $3,730.00	Facility		$1,085.20	$1,584.50	$3,730.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.67 / $5.04 / $11.62	Facility		$3.67	$5.04	$11.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $3.75 / $6.23	Professional		$2.12	$3.75	$6.23
United Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $5.04 / $6.05	Facility		$1.86	$5.04	$6.05
United Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $3.02 / $5.04	Professional		$2.59	$3.02	$5.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $2.02 / $5.04	Professional		$1.97	$2.02	$5.04