Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $52.48 / $151.36	Facility		$4.37	$52.48	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.24 / $5.50	Professional		$2.00	$3.24	$5.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.19 / $3.89	Professional		$1.78	$2.19	$3.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $11.75 / $21.88	Facility		$4.07	$11.75	$21.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.29 / $5.50	Professional		$2.04	$2.29	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $5.75 / $39.81	Facility		$3.39	$5.75	$39.81
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.89 / $6.31	Professional		$2.57	$3.89	$6.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Facility		$3.63	$3.63	$3.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $7.94 / $19.95	Facility		$3.31	$7.94	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.69 / $7.59	Professional		$1.95	$2.69	$7.59
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 $3.02 / $3.39 / $5.62	Professional		$3.02	$3.39	$5.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $4.47 / $100.00	Facility		$2.82	$4.47	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.31 / $5.50	Professional		$2.00	$3.31	$5.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.09 / $3.09	Professional		$2.75	$3.09	$3.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,311.31 / $3,890.45	Facility		$2,454.71	$3,311.31	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $3.63 / $10.72	Facility		$2.95	$3.63	$10.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.82 / $6.03	Professional		$2.04	$2.82	$6.03
United Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $2.45 / $3.63	Facility		$1.32	$2.45	$3.63
United Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $2.14 / $3.16	Professional		$1.55	$2.14	$3.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63