Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.82 / $58.42 / $75.77	Facility	26	$47.82	$58.42	$75.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.25 / $267.55 / $444.79	Professional		$197.25	$267.55	$444.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.58 / $59.29 / $98.00	Professional	26	$49.58	$59.29	$98.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $185.18 / $222.53 / $235.40	Professional		$185.18	$222.53	$235.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.32 / $54.12 / $110.95	Professional	26	$48.32	$54.12	$110.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.62 / $173.66 / $276.55	Professional		$56.62	$173.66	$276.55
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $219.54 / $238.00 / $482.19	Professional		$219.54	$238.00	$482.19
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $53.56 / $53.56 / $58.25	Professional	26	$53.56	$53.56	$58.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.64 / $65.64 / $65.64	Facility	26	$65.64	$65.64	$65.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.81 / $342.28 / $612.15	Professional		$207.81	$342.28	$612.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.10 / $66.27 / $120.16	Professional	26	$44.10	$66.27	$120.16
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $414.72 / $522.72 / $537.20	Facility	26	$414.72	$522.72	$537.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,022.16 / $2,077.23 / $2,077.23	Professional		$2,022.16	$2,077.23	$2,077.23
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $394.61 / $394.61 / $456.90	Professional	26	$394.61	$394.61	$456.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.85 / $399.76 / $600.75	Professional		$302.85	$399.76	$600.75
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $71.48 / $90.73 / $219.96	Professional	26	$71.48	$90.73	$219.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $235.26 / $445.44	Professional		$64.26	$235.26	$445.44
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $65.64 / $65.64 / $65.64	Facility	26	$65.64	$65.64	$65.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.83 / $372.75 / $708.92	Professional		$213.83	$372.75	$708.92
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $47.52 / $62.25 / $116.83	Professional	26	$47.52	$62.25	$116.83
United Facility/Professional Professional Modifier Low / Median / High Price $239.89 / $311.29 / $553.20	Professional		$239.89	$311.29	$553.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.28 / $62.44 / $110.64	Professional	26	$49.28	$62.44	$110.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.05 / $222.53 / $316.80	Professional		$199.05	$222.53	$316.80
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $46.93 / $54.12 / $74.68	Professional	26	$46.93	$54.12	$74.68