Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $54.95 / $173.78	Facility		$4.90	$54.95	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.47 / $7.59	Professional		$3.02	$4.47	$7.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.31 / $6.17	Professional		$2.57	$3.31	$6.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $16.60 / $30.20	Facility		$5.75	$16.60	$30.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.16 / $5.50	Professional		$2.82	$3.16	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $8.32 / $60.26	Facility		$4.68	$8.32	$60.26
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.13 / $7.76	Professional		$3.63	$5.13	$7.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Facility		$5.13	$5.13	$5.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $11.22 / $27.54	Facility		$5.01	$11.22	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.80 / $11.22	Professional		$2.75	$3.80	$11.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $100.00	Facility		$60.26	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $6.61 / $9.55	Professional		$4.37	$6.61	$9.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $6.17 / $117.49	Facility		$4.17	$6.17	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.68 / $7.59	Professional		$3.02	$4.68	$7.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.37 / $4.37	Professional		$3.89	$4.37	$4.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,818.38 / $3,311.31	Facility		$2,041.74	$2,818.38	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $5.13 / $15.14	Facility		$4.17	$5.13	$15.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.98 / $8.71	Professional		$2.95	$3.98	$8.71
United Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $3.47 / $5.13	Facility		$1.86	$3.47	$5.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $3.02 / $4.37	Professional		$2.19	$3.02	$4.37