Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $69.18 / $147.91	Facility		$5.62	$69.18	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.63 / $5.01	Professional		$2.00	$2.63	$5.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.78 / $4.68	Professional		$1.45	$1.78	$4.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $87.10 / $169.82	Facility		$33.11	$87.10	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.70 / $5.50	Professional		$1.62	$1.70	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $5.50 / $199.53	Facility		$2.75	$5.50	$199.53
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $3.09 / $6.17	Professional		$2.09	$3.09	$6.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $18.62 / $18.62	Facility		$3.02	$18.62	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $6.31 / $16.22	Facility		$2.88	$6.31	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $2.09 / $6.17	Professional		$1.58	$2.09	$6.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.72 / $9.33	Professional		$2.45	$3.72	$9.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $46.77 / $144.54	Facility		$2.69	$46.77	$144.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $2.69 / $5.01	Professional		$1.58	$2.69	$5.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.51 / $2.51	Professional		$2.24	$2.51	$2.51
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $3,311.31	Facility		$1,819.70	$2,511.89	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $3.02 / $9.55	Facility		$2.40	$3.02	$9.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $2.19 / $4.90	Professional		$1.66	$2.19	$4.90
United Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $2.24 / $77.62	Facility		$1.38	$2.24	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.74 / $4.17	Professional		$1.26	$1.74	$4.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.17 / $3.02	Professional		$1.17	$1.17	$3.02