Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.63 / $32.00 / $49.47	Facility	26	$24.63	$32.00	$49.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.73 / $107.95 / $192.62	Professional		$82.73	$107.95	$192.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.42 / $32.28 / $59.08	Professional	26	$21.42	$32.28	$59.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $228.51 / $228.51 / $232.80	Professional		$228.51	$228.51	$232.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.02 / $51.03 / $70.73	Professional	26	$29.02	$51.03	$70.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $89.74 / $140.90	Professional		$31.30	$89.74	$140.90
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $156.51 / $217.37	Professional		$104.00	$156.51	$217.37
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $35.90 / $35.90 / $38.74	Professional	26	$35.90	$35.90	$38.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.62 / $43.62 / $43.62	Facility	26	$43.62	$43.62	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.09 / $117.74 / $225.16	Professional		$83.09	$117.74	$225.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.77 / $34.61 / $67.58	Professional	26	$21.77	$34.61	$67.58
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $90.38 / $187.10 / $187.10	Facility	26	$90.38	$187.10	$187.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $810.58 / $810.58 / $1,004.40	Professional		$810.58	$810.58	$1,004.40
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $242.65 / $242.65 / $307.35	Professional	26	$242.65	$242.65	$307.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.80 / $174.68 / $286.29	Professional		$67.80	$174.68	$286.29
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $47.94 / $60.85 / $147.52	Professional	26	$47.94	$60.85	$147.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $122.62 / $222.94	Professional		$44.88	$122.62	$222.94
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $43.62 / $43.62 / $43.62	Facility	26	$43.62	$43.62	$43.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.20 / $135.66 / $305.77	Professional		$86.20	$135.66	$305.77
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $21.26 / $34.61 / $63.85	Professional	26	$21.26	$34.61	$63.85
United Facility/Professional Professional Modifier Low / Median / High Price $90.95 / $116.92 / $184.61	Professional		$90.95	$116.92	$184.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.60 / $35.58 / $58.61	Professional	26	$21.60	$35.58	$58.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.39 / $111.47 / $158.16	Professional		$99.39	$111.47	$158.16
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $31.48 / $36.27 / $50.04	Professional	26	$31.48	$36.27	$50.04