Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $30.83 / $123.76	Facility		$4.76	$30.83	$123.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.15	Professional		$0.09	$0.09	$0.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.26 / $0.74	Facility		$0.12	$0.26	$0.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Professional		$0.12	$0.12	$0.12
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.78 / $83.34	Facility		$0.09	$0.78	$83.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $16.32 / $16.32	Facility		$16.32	$16.32	$16.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.09 / $0.09	Facility		$0.08	$0.09	$0.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Professional		$0.09	$0.09	$0.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $100.00	Facility		$75.00	$85.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $1.91 / $17.85	Facility		$0.30	$1.91	$17.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.14 / $0.59	Professional		$0.07	$0.14	$0.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,499.00 / $3,468.91 / $17,215.78	Facility		$2,499.00	$3,468.91	$17,215.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.09 / $0.13	Facility		$0.08	$0.09	$0.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.31	Professional		$0.09	$0.09	$0.31
United Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Professional		$0.09	$0.09	$0.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.12	Professional		$0.08	$0.08	$0.12