Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $52.48 / $380.19	Facility		$44.67	$52.48	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $41.69 / $66.07	Professional		$19.95	$41.69	$66.07
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $64.57 / $95.50 / $95.50	Professional	25	$64.57	$95.50	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $30.20	Professional		$18.20	$22.91	$30.20
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $20.89 / $20.89 / $20.89	Professional	25	$20.89	$20.89	$20.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $22.39 / $32.36	Professional		$14.45	$22.39	$32.36
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $26.30 / $38.02	Professional		$17.38	$26.30	$38.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $95.50 / $95.50	Facility		$24.55	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $29.51 / $64.57	Professional		$19.05	$29.51	$64.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $407.38	Professional		$138.04	$234.42	$407.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $39.81 / $61.66	Facility		$24.55	$39.81	$61.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $41.69 / $61.66	Professional		$19.95	$41.69	$61.66
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $64.57 / $95.50 / $95.50	Professional	25	$64.57	$95.50	$95.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.42 / $32.36	Professional		$14.13	$20.42	$32.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $39.81 / $51.29	Professional		$25.70	$39.81	$51.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $40.74 / $61.66	Facility		$24.55	$40.74	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $29.51 / $70.79	Professional		$19.05	$29.51	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.90 / $47.86	Professional		$21.38	$30.90	$47.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $30.90 / $37.15	Professional		$19.05	$30.90	$37.15