Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $25.12 / $104.71	Facility		$4.47	$25.12	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.37 / $11.75	Professional		$3.02	$4.37	$11.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.82 / $8.71	Professional		$1.95	$2.82	$8.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $19.05 / $33.11	Facility		$7.59	$19.05	$33.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.07 / $5.50	Professional		$3.09	$4.07	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $8.32 / $37.15	Facility		$5.13	$8.32	$37.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Facility		$5.62	$5.62	$5.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $11.48 / $26.30	Facility		$5.01	$11.48	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.98 / $9.33	Professional		$2.95	$3.98	$9.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $7.94 / $9.12	Professional		$4.68	$7.94	$9.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $5.62 / $79.43	Facility		$4.27	$5.62	$79.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.01 / $8.32	Professional		$3.02	$5.01	$8.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.68 / $4.68	Professional		$4.17	$4.68	$4.68
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $138.04 / $154.88	Facility		$67.61	$138.04	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $5.62 / $16.22	Facility		$4.47	$5.62	$16.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $4.17 / $9.33	Professional		$3.16	$4.17	$9.33
United Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $3.31 / $5.62	Facility		$2.00	$3.31	$5.62
United Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.31 / $4.79	Professional		$2.34	$3.31	$4.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $5.62	Professional		$2.19	$2.19	$5.62