Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $27.73 / $44.49	Facility		$21.26	$27.73	$44.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $24.40 / $38.96	Professional		$20.04	$24.40	$38.96
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $27.34 / $27.34 / $57.90	Professional	25	$27.34	$27.34	$57.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $27.77 / $33.64	Professional		$23.61	$27.77	$33.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.47 / $25.75 / $84.30	Facility		$25.47	$25.75	$84.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $26.48 / $31.35	Professional		$20.64	$26.48	$31.35
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $32.28 / $40.83	Professional		$25.80	$32.28	$40.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.14 / $24.39 / $27.55	Facility		$22.14	$24.39	$27.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $33.97 / $33.97	Facility		$33.97	$33.97	$33.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $35.28 / $58.67	Professional		$25.97	$35.28	$58.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $115.03 / $124.64 / $124.64	Facility		$115.03	$124.64	$124.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $158.93 / $158.93 / $182.79	Professional		$158.93	$158.93	$182.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.73 / $27.01 / $47.28	Facility		$20.73	$27.01	$47.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $38.42 / $52.94	Professional		$30.73	$38.42	$52.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $31.35 / $52.84	Professional		$23.82	$31.35	$52.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.73 / $27.08 / $47.84	Facility		$20.73	$27.08	$47.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.22 / $39.79 / $71.00	Professional		$28.22	$39.79	$71.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $32.22 / $49.76	Professional		$23.28	$32.22	$49.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $28.49 / $38.88	Professional		$24.29	$28.49	$38.88