Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.02 / $95.07 / $560.04	Facility		$1.02	$95.07	$560.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $35.00 / $128.00	Professional		$0.28	$35.00	$128.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.41 / $0.99 / $1.97	Facility		$0.41	$0.99	$1.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Professional		$0.28	$0.28	$0.28
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.59 / $137.19	Facility		$0.26	$0.59	$137.19
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.33 / $0.68	Professional		$0.26	$0.33	$0.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.27 / $0.27	Facility		$0.26	$0.27	$0.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $0.27	Professional		$0.27	$0.27	$0.27
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 $1.64 / $1.64 / $1.64	Professional		$1.64	$1.64	$1.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.28 / $1.87	Facility		$0.26	$0.28	$1.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.35	Professional		$0.28	$0.28	$0.35
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $231.99 / $317.44 / $912.46	Facility		$231.99	$317.44	$912.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.30 / $0.62	Professional		$0.28	$0.30	$0.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.28 / $0.78	Facility		$0.26	$0.28	$0.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $0.27	Professional		$0.27	$0.27	$0.27
United Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Professional		$0.28	$0.28	$0.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.28 / $0.38	Professional		$0.26	$0.28	$0.38