Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $39.59 / $270.48	Facility		$5.81	$39.59	$270.48
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.00 / $32.77 / $40.89	Facility	26	$26.00	$32.77	$40.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $35.79 / $63.30	Professional		$15.66	$35.79	$63.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.23 / $34.57 / $67.70	Professional	26	$17.23	$34.57	$67.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.80 / $42.43 / $44.38	Professional	26	$23.80	$42.43	$44.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $56.73 / $98.20	Facility		$20.99	$56.73	$98.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $38.88 / $38.88	Professional		$36.50	$38.88	$38.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $49.19 / $81.81	Professional		$4.88	$49.19	$81.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $44.89 / $44.89 / $47.38	Facility		$44.89	$44.89	$47.38
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $42.95 / $43.27 / $44.25	Professional	26	$42.95	$43.27	$44.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.15 / $13.73 / $44.29	Facility		$7.15	$13.73	$44.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $43.45 / $43.45	Professional		$43.45	$43.45	$43.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.47 / $40.47 / $40.47	Professional	26	$40.47	$40.47	$40.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $244.58 / $244.58	Facility		$85.00	$244.58	$244.58
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $85.00 / $227.00 / $227.00	Facility	26	$85.00	$227.00	$227.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $302.45 / $302.45 / $392.55	Professional		$302.45	$302.45	$392.55
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $283.52 / $283.52 / $363.08	Professional	26	$283.52	$283.52	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.93 / $47.59 / $73.97	Facility		$24.93	$47.59	$73.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.40 / $75.42 / $140.85	Professional		$55.40	$75.42	$140.85
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $54.99 / $67.30 / $81.81	Professional	26	$54.99	$67.30	$81.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $51.67 / $91.81	Professional		$3.54	$51.67	$91.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $39.59 / $68.03	Facility		$12.13	$39.59	$68.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $43.45 / $86.54	Professional		$43.45	$43.45	$86.54
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $40.47 / $40.47 / $56.69	Professional	26	$40.47	$40.47	$56.69
United Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $20.63 / $35.45	Professional		$15.48	$20.63	$35.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.30 / $20.59 / $35.75	Professional	26	$15.30	$20.59	$35.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $46.28 / $64.25	Professional		$25.45	$46.28	$64.25
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.49 / $7.49 / $44.59	Professional	26	$7.49	$7.49	$44.59