Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $30.20 / $91.20	Facility		$4.37	$30.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.01 / $8.32	Professional		$3.02	$5.01	$8.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.47 / $4.90	Professional		$2.75	$3.47	$4.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $19.50 / $34.67	Facility		$7.76	$19.50	$34.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.31 / $5.50	Professional		$3.16	$3.31	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $8.91 / $38.02	Facility		$5.50	$8.91	$38.02
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $5.62 / $9.33	Professional		$3.55	$5.62	$9.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $5.62 / $5.75	Facility		$5.62	$5.62	$5.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $12.59 / $30.90	Facility		$5.62	$12.59	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.07 / $9.77	Professional		$3.09	$4.07	$9.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $100.00	Facility		$60.26	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $5.75 / $70.79	Facility		$4.37	$5.75	$70.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.13 / $7.59	Professional		$3.02	$5.13	$7.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.79 / $4.79	Professional		$4.37	$4.79	$4.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $380.19 / $426.58	Facility		$181.97	$380.19	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $5.75 / $16.98	Facility		$4.57	$5.75	$16.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.17 / $9.77	Professional		$3.31	$4.17	$9.77
United Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $3.89 / $5.75	Facility		$2.09	$3.89	$5.75
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.39 / $5.01	Professional		$2.40	$3.39	$5.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $5.75	Professional		$2.24	$2.24	$5.75