Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $230.14 / $292.26 / $469.29	Facility	26	$230.14	$292.26	$469.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $843.19 / $1,195.30 / $1,960.94	Professional		$843.19	$1,195.30	$1,960.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $230.14 / $351.80 / $641.91	Professional	26	$230.14	$351.80	$641.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $321.45 / $347.90 / $448.90	Professional	26	$321.45	$347.90	$448.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.19 / $1,045.18 / $1,963.36	Professional		$328.19	$1,045.18	$1,963.36
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,601.98 / $1,730.06 / $1,890.90	Professional		$1,601.98	$1,730.06	$1,890.90
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $356.68 / $502.66 / $502.66	Professional	26	$356.68	$502.66	$502.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,293.45 / $1,664.11 / $2,403.92	Professional		$1,293.45	$1,664.11	$2,403.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $384.60 / $504.13 / $750.87	Professional	26	$384.60	$504.13	$750.87
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $2,693.76 / $3,278.00 / $3,363.92	Facility	26	$2,693.76	$3,278.00	$3,363.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,224.96 / $8,224.96 / $10,050.15	Professional		$8,224.96	$8,224.96	$10,050.15
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $2,275.66 / $2,275.66 / $3,071.40	Professional	26	$2,275.66	$2,275.66	$3,071.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,495.31 / $1,725.36 / $2,070.42	Professional		$1,495.31	$1,725.36	$2,070.42
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $458.77 / $529.35 / $617.58	Professional	26	$458.77	$529.35	$617.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $654.64 / $1,603.56 / $4,070.98	Professional		$654.64	$1,603.56	$4,070.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,283.01 / $1,712.06 / $2,511.36	Professional		$1,283.01	$1,712.06	$2,511.36
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $382.70 / $499.16 / $739.06	Professional	26	$382.70	$499.16	$739.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,036.92 / $1,344.97 / $2,200.53	Professional		$1,036.92	$1,344.97	$2,200.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $315.08 / $425.17 / $665.67	Professional	26	$315.08	$425.17	$665.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $981.70 / $1,099.10 / $1,557.05	Professional		$981.70	$1,099.10	$1,557.05
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $301.19 / $345.65 / $473.38	Professional	26	$301.19	$345.65	$473.38