Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $154.88 / $1,174.90	Facility		$41.69	$154.88	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $36.31 / $512.86	Professional		$18.20	$36.31	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $10.96	Professional		$8.91	$10.96	$10.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $3.72 / $7.24	Facility		$1.51	$3.72	$7.24
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 $0.10 / $0.33 / $208.93	Facility		$0.10	$0.33	$208.93
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.25 / $1.95	Professional		$0.13	$0.25	$1.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.11 / $0.11	Facility		$0.10	$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 $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.13 / $5.62	Facility		$0.11	$0.13	$5.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $30.20 / $416.87	Professional		$2.04	$30.20	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.17	Professional		$0.11	$0.11	$0.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $15,848.93 / $17,782.79	Facility		$7,413.10	$15,848.93	$17,782.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $3.02 / $30.20	Professional		$0.11	$3.02	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.14 / $2.19	Facility		$0.11	$0.14	$2.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.15	Professional		$0.11	$0.11	$0.15
United Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.12 / $0.12	Professional		$0.11	$0.12	$0.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.14	Professional		$0.11	$0.11	$0.14