Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $45.13 / $92.23	Facility		$29.84	$45.13	$92.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $69.17 / $99.34	Professional		$30.82	$69.17	$99.34
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.33 / $91.24 / $189.67	Professional	25	$37.33	$91.24	$189.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $47.35 / $62.73	Professional		$39.42	$47.35	$62.73
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $46.38 / $48.77 / $97.40	Professional	25	$46.38	$48.77	$97.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.00 / $101.60 / $198.80	Facility		$46.00	$101.60	$198.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $45.67 / $52.54	Professional		$36.57	$45.67	$52.54
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $62.61 / $122.00	Professional		$47.57	$62.61	$122.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $43.64 / $44.10 / $45.41	Facility		$43.64	$44.10	$45.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.32 / $36.32 / $36.32	Facility		$36.32	$36.32	$36.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $50.24 / $83.97	Professional		$38.29	$50.24	$83.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $107.04 / $238.31 / $238.31	Facility		$107.04	$238.31	$238.31
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $6.89 / $23.83 / $23.83	Facility	AS	$6.89	$23.83	$23.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $156.63 / $368.28 / $368.28	Professional		$156.63	$368.28	$368.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.57 / $54.61 / $124.73	Facility		$39.57	$54.61	$124.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $59.04 / $89.98	Professional		$35.83	$59.04	$89.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.84 / $52.03 / $85.80	Professional		$43.84	$52.03	$85.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.47 / $53.89 / $129.68	Facility		$38.47	$53.89	$129.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.17 / $56.09 / $100.63	Professional		$40.17	$56.09	$100.63
United Facility/Professional Professional Modifier Low / Median / High Price $31.64 / $42.06 / $64.09	Professional		$31.64	$42.06	$64.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.31 / $46.38 / $64.93	Professional		$40.31	$46.38	$64.93