Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $30.20 / $257.04	Facility		$6.61	$30.20	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $7.08	Professional		$3.98	$3.98	$7.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Professional		$5.62	$5.62	$5.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $16.60 / $31.62	Facility		$6.46	$16.60	$31.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $16.22 / $380.19	Facility		$5.01	$16.22	$380.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.37 / $4.37	Facility		$4.17	$4.37	$4.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $4.37	Professional		$4.37	$4.37	$4.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $36.31 / $190.55	Facility		$5.50	$36.31	$190.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $7.41	Professional		$3.98	$3.98	$7.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $5.25	Professional		$4.07	$4.07	$5.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,951.21 / $4,677.35	Facility		$1,380.38	$2,951.21	$4,677.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $6.31 / $13.49	Facility		$4.27	$6.31	$13.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $5.37	Professional		$4.27	$4.27	$5.37
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $4.37	Professional		$4.37	$4.37	$4.37