Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.69 / $90.24 / $406.35	Facility		$0.69	$90.24	$406.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.62	Professional		$0.11	$0.11	$0.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $12.00 / $18.00	Professional		$8.00	$12.00	$18.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.38 / $0.95	Facility		$0.12	$0.38	$0.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Professional		$0.12	$0.12	$0.12
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $0.27 / $0.91 / $209.60	Facility		$0.27	$0.91	$209.60
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.12 / $0.26	Professional		$0.11	$0.12	$0.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $16.52 / $16.52	Facility		$16.52	$16.52	$16.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Facility		$0.11	$0.11	$0.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Professional		$0.11	$0.11	$0.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $0.96 / $0.96	Professional		$0.96	$0.96	$0.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.16 / $3.31	Facility		$0.12	$0.16	$3.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.14 / $0.31	Professional		$0.11	$0.14	$0.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $226.75 / $310.27 / $931.39	Facility		$226.75	$310.27	$931.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.12 / $0.18	Professional		$0.10	$0.12	$0.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.23	Facility		$0.11	$0.11	$0.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Professional		$0.11	$0.11	$0.11
United Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.20 / $0.20	Facility		$0.15	$0.20	$0.20
United Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Professional		$0.11	$0.11	$0.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.12 / $0.15	Professional		$0.11	$0.12	$0.15