Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.19 / $187.05 / $299.44	Facility	26	$147.19	$187.05	$299.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.74 / $839.60 / $1,420.75	Professional		$616.74	$839.60	$1,420.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $147.19 / $225.04 / $419.84	Professional	26	$147.19	$225.04	$419.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $205.09 / $221.76 / $286.14	Professional	26	$205.09	$221.76	$286.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.52 / $643.04 / $1,232.69	Professional		$185.52	$643.04	$1,232.69
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,166.08 / $1,166.08 / $1,257.00	Professional		$1,166.08	$1,166.08	$1,257.00
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $222.40 / $222.40 / $228.59	Professional	26	$222.40	$222.40	$228.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $940.43 / $1,196.44 / $1,743.65	Professional		$940.43	$1,196.44	$1,743.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $249.97 / $326.08 / $490.97	Professional	26	$249.97	$326.08	$490.97
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $1,718.00 / $2,092.32 / $2,151.76	Facility	26	$1,718.00	$2,092.32	$2,151.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,012.88 / $6,012.88 / $7,302.75	Professional		$6,012.88	$6,012.88	$7,302.75
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1,456.11 / $1,456.11 / $1,957.43	Professional	26	$1,456.11	$1,456.11	$1,957.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $775.28 / $1,170.16 / $1,504.49	Professional		$775.28	$1,170.16	$1,504.49
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $292.67 / $337.70 / $393.98	Professional	26	$292.67	$337.70	$393.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $418.82 / $1,226.11 / $2,950.06	Professional		$418.82	$1,226.11	$2,950.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $890.81 / $1,206.68 / $1,756.31	Professional		$890.81	$1,206.68	$1,756.31
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $245.41 / $326.08 / $476.85	Professional	26	$245.41	$326.08	$476.85
United Facility/Professional Professional Modifier Low / Median / High Price $749.80 / $948.62 / $1,549.65	Professional		$749.80	$948.62	$1,549.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $200.08 / $270.20 / $425.17	Professional	26	$200.08	$270.20	$425.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $713.36 / $797.63 / $1,132.07	Professional		$713.36	$797.63	$1,132.07
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $192.14 / $220.53 / $302.08	Professional	26	$192.14	$220.53	$302.08