Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $20.10 / $367.20	Facility		$0.45	$20.10	$367.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.36 / $12.00	Professional		$0.35	$0.36	$12.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $45.00 / $50.00	Professional		$36.00	$45.00	$50.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.67 / $21.84 / $57.01	Facility		$7.67	$21.84	$57.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $1.81	Professional		$1.81	$1.81	$1.81
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $0.52 / $183.26	Facility		$0.45	$0.52	$183.26
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.57 / $37.84	Professional		$0.38	$0.57	$37.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $12.14 / $12.14	Facility		$12.14	$12.14	$12.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $0.34 / $0.34	Facility		$0.34	$0.34	$0.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $0.37	Professional		$0.34	$0.34	$0.37
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 $506.16 / $514.89 / $514.89	Professional		$506.16	$514.89	$514.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.45 / $21.45	Facility		$0.36	$0.45	$21.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.45 / $4.50	Professional		$0.36	$0.45	$4.50
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,984.68 / $6,507.03 / $26,444.84	Facility		$4,984.68	$6,507.03	$26,444.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.45 / $30.60	Professional		$0.35	$0.45	$30.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.37 / $20.57	Facility		$0.36	$0.37	$20.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $0.88	Professional		$0.34	$0.34	$0.88
United Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $0.83 / $0.83	Facility		$0.83	$0.83	$0.83
United Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.38 / $0.40	Professional		$0.36	$0.38	$0.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.45 / $0.59	Professional		$0.36	$0.45	$0.59