Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.18 / $153.18 / $160.84	Facility		$39.18	$153.18	$160.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $61.86 / $105.68	Professional		$35.72	$61.86	$105.68
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $60.00 / $78.04 / $103.42	Professional	25	$60.00	$78.04	$103.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $78.28 / $100.24	Professional		$74.09	$78.28	$100.24
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $76.27 / $78.28 / $150.61	Professional	25	$76.27	$78.28	$150.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.04 / $354.75 / $427.78	Facility		$73.04	$354.75	$427.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $61.38 / $104.39	Professional		$36.14	$61.38	$104.39
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $47.93 / $81.79 / $127.60	Professional		$47.93	$81.79	$127.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $37.47 / $56.42 / $82.39	Facility		$37.47	$56.42	$82.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.76 / $73.54 / $127.87	Professional		$43.76	$73.54	$127.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $202.83 / $223.73 / $223.73	Facility		$202.83	$223.73	$223.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $308.83 / $544.05 / $690.83	Professional		$308.83	$544.05	$690.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.38 / $69.14 / $102.45	Facility		$40.38	$69.14	$102.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $91.35 / $138.02	Professional		$54.18	$91.35	$138.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $81.13 / $154.00	Professional		$40.70	$81.13	$154.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.57 / $68.25 / $101.86	Facility		$39.57	$68.25	$101.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.03 / $78.28 / $133.13	Professional		$44.03	$78.28	$133.13
United Facility/Professional Professional Modifier Low / Median / High Price $60.90 / $74.80 / $106.57	Professional		$60.90	$74.80	$106.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $69.00 / $82.01	Professional		$55.00	$69.00	$82.01