Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $33.11 / $64.57	Facility		$23.99	$33.11	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $83.18	Professional		$25.12	$36.31	$83.18
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $41.69 / $41.69 / $144.54	Professional	25	$41.69	$41.69	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.90 / $44.67	Professional		$33.88	$38.90	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $89.13	Facility		$20.89	$20.89	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $38.90	Professional		$23.99	$30.20	$38.90
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $48.98 / $93.33	Professional		$39.81	$48.98	$93.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $67.61 / $67.61	Facility		$26.30	$67.61	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $43.65 / $74.13	Professional		$30.20	$43.65	$74.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $37.15 / $66.07	Facility		$25.12	$37.15	$66.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $69.18	Professional		$23.99	$33.88	$69.18
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $41.69 / $41.69 / $144.54	Professional	25	$41.69	$41.69	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $57.54 / $97.72	Professional		$28.18	$57.54	$97.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $37.15 / $64.57	Facility		$25.70	$37.15	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $44.67 / $81.28	Professional		$29.51	$44.67	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $54.95	Facility		$43.65	$43.65	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $61.66	Professional		$28.18	$39.81	$61.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $40.74 / $45.71	Professional		$22.91	$40.74	$45.71