Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.94 / $24.80 / $90.66	Facility		$15.94	$24.80	$90.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $31.84 / $50.21	Professional		$20.62	$31.84	$50.21
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $39.76 / $50.00 / $144.00	Professional	25	$39.76	$50.00	$144.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $9.77 / $14.18 / $20.30	Professional	52	$9.77	$14.18	$20.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.93 / $36.54 / $38.90	Professional		$32.93	$36.54	$38.90
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $31.06 / $36.54 / $37.92	Professional	25	$31.06	$36.54	$37.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.30 / $78.43 / $132.96	Facility		$25.30	$78.43	$132.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $28.64 / $33.70	Professional		$20.07	$28.64	$33.70
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $54.70 / $54.70 / $54.70	Facility		$54.70	$54.70	$54.70
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $42.02 / $63.85	Professional		$28.44	$42.02	$63.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $24.22 / $38.01 / $38.01	Facility		$24.22	$38.01	$38.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.77 / $35.77 / $35.77	Facility		$35.77	$35.77	$35.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $34.82 / $34.82	Professional		$34.82	$34.82	$34.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $132.21 / $140.72 / $140.72	Facility		$132.21	$140.72	$140.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $171.97 / $245.75 / $327.08	Professional		$171.97	$245.75	$327.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.41 / $36.90 / $60.78	Facility		$24.41	$36.90	$60.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $47.40 / $68.13	Professional		$32.75	$47.40	$68.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $43.43 / $78.90	Professional		$25.66	$43.43	$78.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.38 / $36.88 / $61.01	Facility		$24.38	$36.88	$61.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $34.82 / $84.46	Professional		$34.82	$34.82	$84.46
United Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $40.78 / $64.19	Professional		$29.95	$40.78	$64.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $37.77 / $51.19	Professional		$32.29	$37.77	$51.19