Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $5.25 / $26.92	Facility		$0.83	$5.25	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $4.47	Professional		$1.00	$2.00	$4.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $1.05 / $64.57	Professional		$1.02	$1.05	$64.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.81 / $1.20 / $2.82	Facility		$0.81	$1.20	$2.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.49 / $0.49 / $0.49	Professional		$0.49	$0.49	$0.49
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1.05 / $1.05 / $1.05	Facility		$1.05	$1.05	$1.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $1.05 / $1.05 / $1.05	Facility		$1.05	$1.05	$1.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $0.62 / $1.62	Facility		$0.62	$0.62	$1.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.52 / $0.52	Professional		$0.52	$0.52	$0.52
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 $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $1.05 / $1.78	Facility		$0.59	$1.05	$1.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $1.00 / $1.55	Professional		$0.65	$1.00	$1.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $2,754.23	Professional		$81.28	$81.28	$2,754.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.51 / $2.00	Professional		$1.05	$1.51	$2.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.58 / $1.05 / $1.82	Facility		$0.58	$1.05	$1.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.52 / $0.85	Professional		$0.52	$0.52	$0.85
United Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.42 / $0.68	Facility		$0.28	$0.42	$0.68
United Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.46 / $0.71	Professional		$0.36	$0.46	$0.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $1.05 / $1.29	Professional		$0.48	$1.05	$1.29