Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.86 / $23.12 / $97.12	Facility		$3.86	$23.12	$97.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $4.23 / $5.08	Professional		$3.15	$4.23	$5.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $3.05 / $3.29	Professional		$2.44	$3.05	$3.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $16.46 / $30.38	Facility		$6.35	$16.46	$30.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $5.00 / $5.50	Professional		$2.69	$5.00	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $4.83 / $7.87 / $29.50	Facility		$4.83	$7.87	$29.50
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $4.57 / $7.62	Professional		$3.81	$4.57	$7.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $5.08 / $5.08 / $5.08	Facility		$5.08	$5.08	$5.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $10.64 / $23.80	Facility		$3.55	$10.64	$23.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.49 / $9.72	Professional		$2.69	$3.49	$9.72
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 $3.94 / $5.08 / $7.16	Facility		$3.94	$5.08	$7.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.08 / $6.58	Professional		$4.57	$5.08	$6.58
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $113.65 / $147.04 / $308.44	Facility		$113.65	$147.04	$308.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.94 / $5.08 / $12.07	Facility		$3.94	$5.08	$12.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.69 / $6.86	Professional		$2.69	$3.69	$6.86
United Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $2.72 / $4.04	Professional		$2.13	$2.72	$4.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $2.34 / $5.08	Professional		$1.98	$2.34	$5.08