Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $71.72 / $439.55	Facility		$2.50	$71.72	$439.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.54 / $93.14	Professional		$2.47	$2.54	$93.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.11 / $2.95	Professional		$2.11	$2.11	$2.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.03 / $7.13 / $14.87	Facility		$3.03	$7.13	$14.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $2.84 / $2.84	Professional		$2.84	$2.84	$2.84
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $7.43 / $7.43 / $254.90	Facility		$7.43	$7.43	$254.90
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $3.99 / $16.34	Professional		$2.11	$3.99	$16.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $35.97 / $35.97	Facility		$35.97	$35.97	$35.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.33 / $2.47 / $2.47	Facility		$2.33	$2.47	$2.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $2.56	Professional		$2.47	$2.47	$2.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $2,976.31 / $2,976.31	Facility		$75.00	$2,976.31	$2,976.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $535.00 / $542.05	Professional		$330.00	$535.00	$542.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $3.15 / $134.06	Facility		$2.11	$3.15	$134.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.52 / $4.70	Professional		$2.47	$2.52	$4.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,177.26 / $8,050.60 / $32,698.76	Facility		$6,177.26	$8,050.60	$32,698.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $3.20 / $6.40	Professional		$2.47	$3.20	$6.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.47 / $2.97 / $125.68	Facility		$2.47	$2.97	$125.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $4.25	Professional		$2.47	$2.47	$4.25
United Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.62 / $36.11	Professional		$2.47	$2.62	$36.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.47 / $3.63	Professional		$2.11	$2.47	$3.63