Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.42 / $27.03 / $68.52	Facility		$19.42	$27.03	$68.52
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $65.78 / $73.90 / $73.90	Facility	25	$65.78	$73.90	$73.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.25 / $24.32 / $37.60	Professional		$20.25	$24.32	$37.60
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $25.11 / $49.86 / $97.21	Professional	25	$25.11	$49.86	$97.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $25.94 / $34.59	Professional		$23.50	$25.94	$34.59
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $22.05 / $23.50 / $35.25	Professional	25	$22.05	$23.50	$35.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $26.42 / $68.20	Facility		$22.01	$26.42	$68.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $26.33 / $30.09	Professional		$21.08	$26.33	$30.09
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $33.77 / $33.77 / $65.70	Facility		$33.77	$33.77	$65.70
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $31.87 / $40.47	Professional		$25.15	$31.87	$40.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.82 / $26.70 / $26.70	Facility		$21.82	$26.70	$26.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $33.15 / $33.15	Facility		$33.15	$33.15	$33.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $31.14 / $49.68	Professional		$22.55	$31.14	$49.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $112.04 / $238.94 / $238.94	Facility		$112.04	$238.94	$238.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $342.78 / $342.78 / $342.78	Professional		$342.78	$342.78	$342.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $27.87 / $50.40	Facility		$21.31	$27.87	$50.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.17 / $36.63 / $49.33	Professional		$29.17	$36.63	$49.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.35 / $30.00 / $50.27	Professional		$23.35	$30.00	$50.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $27.91 / $51.85	Facility		$21.26	$27.91	$51.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $33.02 / $63.07	Professional		$23.71	$33.02	$63.07
United Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $29.59 / $43.88	Professional		$22.05	$29.59	$43.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $26.56 / $36.32	Professional		$22.63	$26.56	$36.32