Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.82 / $62.82 / $62.82	Facility		$62.82	$62.82	$62.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $31.01 / $46.02	Professional		$24.44	$31.01	$46.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $52.50 / $52.50 / $53.55	Professional	50	$52.50	$52.50	$53.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $34.09 / $51.14	Professional		$34.09	$34.09	$51.14
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $47.56 / $51.14 / $97.39	Professional	50	$47.56	$51.14	$97.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.57 / $28.42 / $104.77	Facility		$21.57	$28.42	$104.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $32.31 / $51.35	Professional		$25.43	$32.31	$51.35
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $38.69 / $54.54	Professional		$35.06	$38.69	$54.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.83 / $35.70 / $35.70	Facility		$25.83	$35.70	$35.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $40.11 / $67.73	Professional		$28.98	$40.11	$67.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $143.82 / $158.51 / $158.51	Facility		$143.82	$158.51	$158.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $200.98 / $229.17 / $292.95	Professional		$200.98	$229.17	$292.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.96 / $34.19 / $50.27	Facility		$25.96	$34.19	$50.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $40.97 / $55.89	Professional		$36.00	$40.97	$55.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $36.81 / $42.91	Professional		$28.01	$36.81	$42.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $34.09 / $47.73	Facility		$24.44	$34.09	$47.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $40.93 / $67.93	Professional		$29.72	$40.93	$67.93
United Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $36.83 / $53.24	Professional		$28.69	$36.83	$53.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.81 / $34.09 / $47.48	Professional		$29.81	$34.09	$47.48