Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.25 / $62.58 / $198.02	Facility		$3.25	$62.58	$198.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.25 / $5.43	Professional		$3.22	$3.25	$5.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $5.94 / $12.34	Facility		$2.57	$5.94	$12.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $2.57	Professional		$2.57	$2.57	$2.57
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2.59 / $8.89 / $558.60	Facility		$2.59	$8.89	$558.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $60.70 / $60.70 / $60.70	Facility		$60.70	$60.70	$60.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.22 / $3.22	Facility		$3.04	$3.22	$3.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $3.22	Professional		$3.22	$3.22	$3.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $164.71 / $164.71	Facility		$100.00	$164.71	$164.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.05 / $4.59 / $34.97	Facility		$1.05	$4.59	$34.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $3.22 / $7.53	Professional		$2.96	$3.22	$7.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,090.20 / $1,468.98 / $8,773.15	Facility		$1,090.20	$1,468.98	$8,773.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.22 / $4.65	Facility		$3.04	$3.22	$4.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.22 / $5.87	Professional		$3.06	$3.22	$5.87
United Facility/Professional Facility Modifier Low / Median / High Price $4.28 / $5.79 / $5.79	Facility		$4.28	$5.79	$5.79
United Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $4.47 / $4.47	Professional		$3.22	$4.47	$4.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $4.16 / $4.34	Professional		$3.22	$4.16	$4.34