Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $33.52 / $60.18	Facility		$25.55	$33.52	$60.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $32.94 / $61.35	Professional		$24.37	$32.94	$61.35
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $41.32 / $41.32 / $41.32	Professional	25	$41.32	$41.32	$41.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.45 / $37.45 / $41.19	Professional		$37.45	$37.45	$41.19
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $37.45 / $37.45 / $37.45	Professional	25	$37.45	$37.45	$37.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.44 / $37.72 / $87.58	Facility		$34.44	$37.72	$87.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.83 / $30.43 / $39.76	Professional		$23.83	$30.43	$39.76
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $38.67 / $48.34 / $64.34	Professional		$38.67	$48.34	$64.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $26.15 / $67.03 / $67.03	Facility		$26.15	$67.03	$67.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $39.92 / $39.92	Facility		$39.92	$39.92	$39.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $43.16 / $69.31	Professional		$29.23	$43.16	$69.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.74 / $145.91 / $145.91	Facility		$134.74	$145.91	$145.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $191.14 / $191.14 / $251.93	Professional		$191.14	$191.14	$251.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.98 / $34.57 / $58.01	Facility		$24.98	$34.57	$58.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.99 / $50.04 / $69.28	Professional		$35.99	$50.04	$69.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $44.33 / $76.13	Professional		$28.83	$44.33	$76.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.98 / $34.67 / $58.62	Facility		$24.98	$34.67	$58.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $45.69 / $83.66	Professional		$30.55	$45.69	$83.66
United Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $43.82 / $67.55	Professional		$33.04	$43.82	$67.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $38.54 / $52.43	Professional		$32.85	$38.54	$52.43