Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $23.44 / $95.50	Facility		$3.98	$23.44	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.80 / $5.25	Professional		$2.00	$3.80	$5.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $2.63 / $87.10	Professional		$1.48	$2.63	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $14.79 / $26.30	Facility		$5.89	$14.79	$26.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.80 / $5.50	Professional		$2.40	$3.80	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $6.76 / $29.51	Facility		$4.07	$6.76	$29.51
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.37 / $7.41	Professional		$3.09	$4.37	$7.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $6.17 / $6.17	Facility		$4.37	$6.17	$6.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $9.55 / $23.99	Facility		$4.27	$9.55	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.09 / $7.59	Professional		$2.34	$3.09	$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 $3.72 / $4.27 / $6.92	Professional		$3.72	$4.27	$6.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $4.37 / $64.57	Facility		$3.55	$4.37	$64.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.98 / $6.17	Professional		$2.34	$3.98	$6.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.72 / $3.72	Professional		$3.31	$3.72	$3.72
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,698.24 / $2,454.71	Facility		$933.25	$1,698.24	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $4.37 / $12.88	Facility		$3.55	$4.37	$12.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.24 / $7.59	Professional		$2.57	$3.24	$7.59
United Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $2.95 / $4.37	Facility		$1.58	$2.95	$4.37
United Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.57 / $3.80	Professional		$1.86	$2.57	$3.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $4.37	Professional		$1.74	$1.74	$4.37