Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $52.48 / $512.86	Facility		$5.13	$52.48	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $4.17	Professional		$2.00	$2.00	$4.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.40 / $2.40	Professional		$1.78	$2.40	$2.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $13.80 / $26.92	Facility		$5.75	$13.80	$26.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.09 / $3.09	Professional		$3.09	$3.09	$3.09
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $117.49 / $288.40	Facility		$2.40	$117.49	$288.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.40 / $2.40	Facility		$2.24	$2.40	$2.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Professional		$2.40	$2.40	$2.40
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 $7.76 / $7.76 / $9.12	Professional		$7.76	$7.76	$9.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $45.71 / $407.38	Facility		$4.07	$45.71	$407.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.40 / $5.75	Professional		$2.00	$2.40	$5.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $2.40 / $2.45	Professional		$1.66	$2.40	$2.45
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $3,388.44	Facility		$1,445.44	$2,137.96	$3,388.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $3.39 / $8.13	Facility		$2.40	$3.39	$8.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $2.57	Professional		$2.57	$2.57	$2.57
United Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.40 / $2.40	Professional		$2.14	$2.40	$2.40