Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $34.67 / $85.11	Facility		$3.98	$34.67	$85.11
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $28.84 / $40.74	Facility	26	$25.70	$28.84	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $40.74 / $56.23	Professional		$15.14	$40.74	$56.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $42.66 / $83.18	Professional	26	$16.98	$42.66	$83.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $44.67 / $57.54	Professional	26	$39.81	$44.67	$57.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $58.88 / $97.72	Facility		$22.39	$58.88	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $40.74 / $40.74	Professional		$38.02	$40.74	$40.74
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $77.62	Professional		$32.36	$53.70	$77.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $45.71	Facility		$44.67	$44.67	$45.71
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $43.65 / $43.65	Professional	26	$42.66	$43.65	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $14.13 / $44.67	Facility		$7.08	$14.13	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Professional	26	$40.74	$40.74	$40.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $281.84 / $281.84 / $281.84	Facility	26	$281.84	$281.84	$281.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $389.05	Professional		$302.00	$389.05	$389.05
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $281.84 / $363.08 / $363.08	Professional	26	$281.84	$363.08	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $45.71 / $79.43	Facility		$22.91	$45.71	$79.43
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $28.84 / $37.15	Facility	26	$25.70	$28.84	$37.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $54.95 / $85.11	Professional		$26.92	$54.95	$85.11
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $47.86 / $79.43	Professional	26	$25.12	$47.86	$79.43
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 $3.31 / $46.77 / $97.72	Professional		$3.31	$46.77	$97.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $41.69 / $69.18	Facility		$12.30	$41.69	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Professional	26	$40.74	$40.74	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $34.67	Professional		$15.14	$19.95	$34.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.95 / $34.67	Professional	26	$15.14	$19.95	$34.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $46.77	Professional		$45.71	$45.71	$46.77
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $42.66 / $43.65	Professional	26	$7.24	$42.66	$43.65