Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $72.00 / $400.48	Facility		$0.14	$72.00	$400.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.14 / $101.10	Professional		$0.14	$0.14	$101.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $15.00	Professional		$11.00	$11.00	$15.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.23 / $0.38	Facility		$0.23	$0.23	$0.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.23 / $0.23	Professional		$0.23	$0.23	$0.23
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.25 / $205.33	Facility		$0.11	$0.25	$205.33
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.18 / $0.37	Professional		$0.12	$0.18	$0.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.67 / $25.67 / $25.67	Facility		$25.67	$25.67	$25.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $0.14 / $0.14	Facility		$0.13	$0.14	$0.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.14 / $0.14	Professional		$0.14	$0.14	$0.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $100.00	Facility		$75.00	$85.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $85.90 / $85.90 / $85.90	Professional		$85.90	$85.90	$85.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.14 / $0.35	Facility		$0.11	$0.14	$0.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.17 / $2.34	Professional		$0.12	$0.17	$2.34
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $387.45 / $523.66 / $6,491.52	Facility		$387.45	$523.66	$6,491.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.14 / $0.30	Professional		$0.10	$0.14	$0.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.14 / $0.35	Facility		$0.14	$0.14	$0.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.14 / $0.15	Professional		$0.14	$0.14	$0.15
United Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.15 / $1.27	Professional		$0.14	$0.15	$1.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.14 / $0.20	Professional		$0.11	$0.14	$0.20