Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $57.54 / $125.89	Facility		$5.50	$57.54	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.16 / $5.62	Professional		$2.00	$3.16	$5.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $2.19 / $5.75	Professional		$1.66	$2.19	$5.75
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 / $2.24 / $5.50	Professional		$2.04	$2.24	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $6.03 / $77.62	Facility		$3.39	$6.03	$77.62
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $3.89 / $6.31	Professional		$2.19	$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 / $7.59 / $18.62	Facility		$3.31	$7.59	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.57 / $7.59	Professional		$1.95	$2.57	$7.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.57 / $6.92	Professional		$3.02	$4.57	$6.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $16.60 / $114.82	Facility		$2.95	$16.60	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.24 / $5.75	Professional		$2.00	$3.24	$5.75
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 $69.18 / $190.55 / $213.80	Facility		$69.18	$190.55	$213.80
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 / $2.69 / $6.03	Professional		$2.04	$2.69	$6.03
United Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $2.19 / $3.63	Facility		$1.32	$2.19	$3.63
United Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $2.14 / $3.09	Professional		$1.55	$2.14	$3.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.45 / $3.63	Professional		$1.45	$1.45	$3.63