Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.28 / $221.90 / $447.37	Facility		$45.28	$221.90	$447.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $51.72 / $173.00	Professional		$35.57	$51.72	$173.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $217.68 / $217.68 / $217.68	Professional	25	$217.68	$217.68	$217.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.70 / $51.72 / $67.23	Professional		$51.70	$51.72	$67.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.66 / $46.66 / $46.66	Facility		$46.66	$46.66	$46.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $46.66 / $46.66	Professional		$39.65	$46.66	$46.66
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $91.89 / $91.89 / $116.37	Facility		$91.89	$91.89	$116.37
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $45.64 / $63.84 / $82.75	Professional		$45.64	$63.84	$82.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $54.68 / $104.70 / $104.70	Facility		$54.68	$104.70	$104.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $61.58 / $61.58	Facility		$61.58	$61.58	$61.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $48.80 / $48.80	Professional		$48.80	$48.80	$48.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $93.05 / $276.56 / $276.74	Facility		$93.05	$276.56	$276.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $345.93 / $345.93 / $446.63	Professional		$345.93	$345.93	$446.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.14 / $53.03 / $94.47	Facility		$31.14	$53.03	$94.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.01 / $76.92 / $98.67	Professional		$61.01	$76.92	$98.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.06 / $69.53 / $117.77	Professional		$55.06	$69.53	$117.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.20 / $53.15 / $98.02	Facility		$31.20	$53.15	$98.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $48.80 / $122.37	Professional		$48.80	$48.80	$122.37
United Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $53.44 / $85.19	Professional		$33.56	$53.44	$85.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $53.20 / $72.41	Professional		$45.28	$53.20	$72.41