Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.86 / $62.36 / $86.72	Facility	26	$51.86	$62.36	$86.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.68 / $158.56 / $210.61	Professional		$127.68	$158.56	$210.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.29 / $68.06 / $98.73	Professional	26	$56.29	$68.06	$98.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.33 / $144.93 / $176.11	Professional		$139.33	$144.93	$176.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $76.41 / $79.56 / $89.72	Professional	26	$76.41	$79.56	$89.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.14 / $117.69 / $207.34	Professional		$60.14	$117.69	$207.34
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $151.51 / $181.16 / $246.56	Professional		$151.51	$181.16	$246.56
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $62.99 / $66.94 / $69.13	Professional	26	$62.99	$66.94	$69.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.80 / $76.80 / $76.80	Facility	26	$76.80	$76.80	$76.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.00 / $197.37 / $303.82	Professional		$149.00	$197.37	$303.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.44 / $86.38 / $133.57	Professional	26	$66.44	$86.38	$133.57
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $157.36 / $302.75 / $327.56	Facility	26	$157.36	$302.75	$327.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $982.06 / $982.06 / $1,296.45	Professional		$982.06	$982.06	$1,296.45
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $428.85 / $428.85 / $540.45	Professional	26	$428.85	$428.85	$540.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.93 / $203.49 / $271.31	Professional		$144.93	$203.49	$271.31
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $74.39 / $90.57 / $126.15	Professional	26	$74.39	$90.57	$126.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $107.32 / $201.62	Professional		$66.59	$107.32	$201.62
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $76.80 / $76.80 / $76.80	Facility	26	$76.80	$76.80	$76.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.25 / $212.89 / $382.84	Professional		$155.25	$212.89	$382.84
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $66.80 / $86.51 / $129.94	Professional	26	$66.80	$86.51	$129.94
United Facility/Professional Professional Modifier Low / Median / High Price $129.91 / $165.42 / $258.31	Professional		$129.91	$165.42	$258.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.47 / $72.87 / $113.05	Professional	26	$54.47	$72.87	$113.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.63 / $144.93 / $204.54	Professional		$128.63	$144.93	$204.54
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $55.21 / $63.63 / $87.74	Professional	26	$55.21	$63.63	$87.74