Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.87 / $85.32 / $124.17	Facility		$63.87	$85.32	$124.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.43 / $70.76 / $125.07	Professional		$59.43	$70.76	$125.07
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $62.19 / $78.12 / $207.90	Professional	25	$62.19	$78.12	$207.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.80 / $77.34 / $108.96	Professional		$68.80	$77.34	$108.96
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $65.98 / $77.34 / $97.48	Professional	25	$65.98	$77.34	$97.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.38 / $139.80 / $323.73	Facility		$73.38	$139.80	$323.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $72.20 / $83.25	Professional		$59.36	$72.20	$83.25
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $74.55 / $93.72 / $131.47	Professional		$74.55	$93.72	$131.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $65.18 / $78.98 / $78.98	Facility		$65.18	$78.98	$78.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.27 / $100.27 / $100.27	Facility		$100.27	$100.27	$100.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.78 / $89.82 / $148.41	Professional		$65.78	$89.82	$148.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $339.11 / $368.17 / $368.17	Facility		$339.11	$368.17	$368.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $477.95 / $477.95 / $525.69	Professional		$477.95	$477.95	$525.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.46 / $79.53 / $155.15	Facility		$62.46	$79.53	$155.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.53 / $110.86 / $148.00	Professional		$87.53	$110.86	$148.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.97 / $87.74 / $145.34	Professional		$68.97	$87.74	$145.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.46 / $79.70 / $170.06	Facility		$62.46	$79.70	$170.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.41 / $97.58 / $194.16	Professional		$69.41	$97.58	$194.16
United Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $90.23 / $138.56	Professional		$65.34	$90.23	$138.56
United Facility/Professional Professional Modifier 25 Low / Median / High Price $83.64 / $98.97 / $99.10	Professional	25	$83.64	$98.97	$99.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $79.73 / $108.96	Professional		$67.91	$79.73	$108.96