Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $2.00 / $2.00	Facility		$1.74	$2.00	$2.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $3.02	Professional		$1.00	$2.00	$3.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.39 / $3.55	Professional		$2.45	$3.39	$3.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $3.47 / $9.55	Facility		$2.57	$3.47	$9.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $1.66 / $1.66	Professional		$1.66	$1.66	$1.66
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.82 / $3.89	Professional		$2.14	$2.82	$3.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $181.97 / $181.97	Facility		$3.55	$181.97	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $2.09 / $2.57	Facility		$2.09	$2.09	$2.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $1.78 / $2.09	Professional		$1.78	$1.78	$2.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $85.11 / $85.11	Facility		$79.43	$85.11	$85.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $26.30 / $26.30	Professional		$17.38	$26.30	$26.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $2.95 / $4.79	Facility		$1.82	$2.95	$4.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $3.55	Professional		$1.00	$2.00	$3.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.20 / $1.20	Professional		$1.20	$1.20	$1.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $2.82 / $5.01	Facility		$1.74	$2.82	$5.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $1.78 / $2.57	Professional		$1.78	$1.78	$2.57
United Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.48 / $2.29	Facility		$1.00	$1.48	$2.29
United Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.58 / $2.14	Professional		$1.23	$1.58	$2.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.55 / $3.55	Professional		$3.55	$3.55	$3.55