Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.87 / $352.52 / $794.19	Professional		$271.87	$352.52	$794.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.84 / $58.09 / $118.48	Professional	26	$43.84	$58.09	$118.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $240.21 / $240.21 / $290.20	Professional		$240.21	$240.21	$290.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.22 / $36.96 / $76.37	Professional	26	$23.22	$36.96	$76.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.36 / $201.17 / $668.90	Professional		$93.36	$201.17	$668.90
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $114.75 / $453.82 / $648.58	Professional		$114.75	$453.82	$648.58
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $69.77 / $70.77 / $73.12	Professional	26	$69.77	$70.77	$73.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.68 / $328.73 / $866.00	Professional		$187.68	$328.73	$866.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.72 / $46.42 / $143.03	Professional	26	$35.72	$46.42	$143.03
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $183.39 / $375.20 / $375.20	Facility	26	$183.39	$375.20	$375.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,261.22 / $3,261.22 / $4,153.64	Professional		$3,261.22	$3,261.22	$4,153.64
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $665.00 / $665.00 / $665.00	Professional	26	$665.00	$665.00	$665.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $290.55 / $668.40 / $888.02	Professional		$290.55	$668.40	$888.02
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $90.98 / $109.17 / $170.57	Professional	26	$90.98	$109.17	$170.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $428.53 / $841.94	Professional		$73.93	$428.53	$841.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.44 / $455.83 / $1,203.08	Professional		$192.44	$455.83	$1,203.08
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $35.57 / $46.42 / $144.47	Professional	26	$35.57	$46.42	$144.47
United Facility/Professional Professional Modifier Low / Median / High Price $219.48 / $347.24 / $819.52	Professional		$219.48	$347.24	$819.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.91 / $51.85 / $159.52	Professional	26	$44.91	$51.85	$159.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $153.69 / $281.29 / $476.71	Professional		$153.69	$281.29	$476.71
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $31.11 / $38.68 / $73.18	Professional	26	$31.11	$38.68	$73.18