Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $49.67 / $217.11	Facility		$1.99	$49.67	$217.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.04 / $57.00	Professional		$1.99	$2.04	$57.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.99 / $2.41	Professional		$1.20	$1.99	$2.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.16 / $5.47 / $10.91	Facility		$2.16	$5.47	$10.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.46 / $2.46 / $2.46	Professional		$2.46	$2.46	$2.46
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1.72 / $1.98 / $136.79	Facility		$1.72	$1.98	$136.79
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $2.29 / $3.86	Professional		$1.81	$2.29	$3.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.62 / $21.62 / $21.62	Facility		$21.62	$21.62	$21.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $1.99 / $1.99	Facility		$1.88	$1.99	$1.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $1.99 / $2.06	Professional		$1.99	$1.99	$2.06
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 $60.42 / $60.42 / $60.42	Professional		$60.42	$60.42	$60.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.71 / $1.99 / $3.89	Facility		$1.71	$1.99	$3.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.39 / $3.60	Professional		$1.99	$2.39	$3.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $8,011.99 / $10,649.87 / $41,248.26	Facility		$8,011.99	$10,649.87	$41,248.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $2.33 / $4.80	Professional		$1.94	$2.33	$4.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $1.99 / $3.89	Facility		$1.74	$1.99	$3.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $1.99 / $3.04	Professional		$1.99	$1.99	$3.04
United Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.11 / $2.34	Professional		$1.99	$2.11	$2.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $1.99 / $2.79	Professional		$1.72	$1.99	$2.79