Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.48 / $78.93 / $380.00	Facility		$23.48	$78.93	$380.00
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $40.74 / $85.00 / $642.60	Facility	CO	$40.74	$85.00	$642.60
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $31.23 / $94.35 / $400.00	Facility	CQ	$31.23	$94.35	$400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $25.75 / $58.50	Professional		$17.77	$25.75	$58.50
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $34.36 / $36.22 / $47.10	Professional	CQ	$34.36	$36.22	$47.10
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $40.00 / $40.00 / $42.00	Professional	CQ	$40.00	$40.00	$42.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.72 / $98.54 / $198.31	Facility		$40.72	$98.54	$198.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $29.71 / $29.71	Professional		$26.33	$29.71	$29.71
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $34.86 / $77.62 / $120.00	Facility		$34.86	$77.62	$120.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $40.07 / $57.92	Professional		$34.65	$40.07	$57.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $34.19 / $54.38 / $54.38	Facility		$34.19	$54.38	$54.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $65.00 / $75.00	Facility		$55.00	$65.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $40.56 / $104.01	Professional		$22.41	$40.56	$104.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $161.97 / $185.25	Facility		$100.00	$161.97	$185.25
Lucent Health Facility/Professional Facility Modifier CO Low / Median / High Price $47.18 / $137.66 / $157.46	Facility	CO	$47.18	$137.66	$157.46
Lucent Health Facility/Professional Facility Modifier CQ Low / Median / High Price $47.18 / $137.66 / $157.46	Facility	CQ	$47.18	$137.66	$157.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $36.84 / $289.41 / $293.10	Professional		$36.84	$289.41	$293.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.31 / $36.27 / $73.38	Facility		$24.31	$36.27	$73.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $36.61 / $55.72	Professional		$28.98	$36.61	$55.72
Moda Health Facility/Professional Professional Modifier CO Low / Median / High Price $26.16 / $26.16 / $26.16	Professional	CO	$26.16	$26.16	$26.16
Moda Health Facility/Professional Professional Modifier CQ Low / Median / High Price $28.60 / $31.83 / $36.54	Professional	CQ	$28.60	$31.83	$36.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $36.22 / $69.72	Professional		$27.16	$36.22	$69.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $65.00 / $75.00	Facility		$55.00	$65.00	$75.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $44.08 / $105.85	Professional		$23.80	$44.08	$105.85
United Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $32.96 / $40.42	Professional		$26.64	$32.96	$40.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $33.49 / $80.00	Professional		$29.54	$33.49	$80.00