Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $7.59 / $52.48	Facility		$2.09	$7.59	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.91	Professional		$1.00	$1.00	$1.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.07 / $93.33	Professional		$1.07	$1.07	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.89 / $2.95 / $6.46	Facility		$0.89	$2.95	$6.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.51 / $1.51	Professional		$1.51	$1.51	$1.51
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $7.94 / $26.92	Facility		$1.00	$7.94	$26.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $3.47 / $3.47	Facility		$3.47	$3.47	$3.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.02 / $1.07 / $1.07	Facility		$1.02	$1.07	$1.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.07 / $1.07	Professional		$1.07	$1.07	$1.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $7.94 / $48.98	Facility		$1.51	$7.94	$48.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.19	Professional		$1.00	$1.00	$2.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.02	Professional		$1.00	$1.00	$1.02
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,073.80 / $4,265.80	Facility		$2,137.96	$4,073.80	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.95 / $1.35 / $2.95	Facility		$0.95	$1.35	$2.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $0.95 / $1.17	Professional		$0.95	$0.95	$1.17
United Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.20 / $1.20	Professional		$1.07	$1.20	$1.20