Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $51.00 / $904.16	Facility		$0.10	$51.00	$904.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $28.50	Professional		$0.10	$0.10	$28.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $14.00	Professional		$11.00	$11.00	$14.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.50 / $3.73 / $7.88	Facility		$1.50	$3.73	$7.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $0.50 / $0.50	Professional		$0.50	$0.50	$0.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.13 / $1,495.01	Facility		$0.11	$0.13	$1,495.01
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.17 / $1.96	Professional		$0.10	$0.17	$1.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $26.81 / $26.81 / $26.81	Facility		$26.81	$26.81	$26.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Facility		$0.10	$0.10	$0.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Professional		$0.10	$0.10	$0.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $306.11 / $306.11 / $306.11	Professional		$306.11	$306.11	$306.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.11 / $1.89	Facility		$0.10	$0.11	$1.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.17 / $3.75	Professional		$0.10	$0.17	$3.75
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,177.26 / $8,050.60 / $32,698.76	Facility		$6,177.26	$8,050.60	$32,698.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.13 / $3.20	Professional		$0.10	$0.13	$3.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $1.77	Facility		$0.10	$0.10	$1.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.17	Professional		$0.10	$0.10	$0.17
United Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.11 / $0.11	Professional		$0.10	$0.11	$0.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.12 / $0.14	Professional		$0.10	$0.12	$0.14