Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.37 / $41.12 / $64.20	Facility	26	$31.37	$41.12	$64.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.05 / $103.16 / $178.59	Professional		$76.05	$103.16	$178.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.37 / $41.12 / $72.94	Professional	26	$31.37	$41.12	$72.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.69 / $45.86 / $89.43	Professional	26	$36.69	$45.86	$89.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $88.32 / $125.86	Professional		$40.65	$88.32	$125.86
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $99.04 / $115.28 / $158.46	Professional		$99.04	$115.28	$158.46
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $44.47 / $45.38 / $48.01	Professional	26	$44.47	$45.38	$48.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.06 / $56.06 / $56.06	Facility	26	$56.06	$56.06	$56.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.05 / $113.02 / $223.08	Professional		$82.05	$113.02	$223.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.95 / $43.95 / $86.42	Professional	26	$29.95	$43.95	$86.42
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $114.26 / $234.22 / $234.22	Facility	26	$114.26	$234.22	$234.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $803.00 / $803.00 / $883.28	Professional		$803.00	$803.00	$883.28
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $310.62 / $310.62 / $389.93	Professional	26	$310.62	$310.62	$389.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.45 / $169.72 / $411.44	Professional		$121.45	$169.72	$411.44
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $60.55 / $76.86 / $186.32	Professional	26	$60.55	$76.86	$186.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.78 / $87.05 / $198.08	Professional		$36.78	$87.05	$198.08
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $56.06 / $56.06 / $56.06	Facility	26	$56.06	$56.06	$56.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.76 / $129.50 / $286.52	Professional		$85.76	$129.50	$286.52
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $29.34 / $43.76 / $79.34	Professional	26	$29.34	$43.76	$79.34
United Facility/Professional Professional Modifier Low / Median / High Price $88.88 / $110.88 / $186.51	Professional		$88.88	$110.88	$186.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $34.49 / $59.38	Professional	26	$29.51	$34.49	$59.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.79 / $99.04 / $139.56	Professional		$87.79	$99.04	$139.56
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $39.75 / $45.86 / $63.11	Professional	26	$39.75	$45.86	$63.11