Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.13 / $18.71 / $26.55	Facility		$18.13	$18.71	$26.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $29.82 / $53.35	Professional		$21.14	$29.82	$53.35
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $50.51 / $50.51 / $50.51	Professional	25	$50.51	$50.51	$50.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $30.42 / $38.27	Professional		$26.64	$30.42	$38.27
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $31.89 / $31.89 / $31.89	Professional	25	$31.89	$31.89	$31.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.17 / $75.76 / $150.84	Facility		$30.17	$75.76	$150.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.26 / $26.50 / $27.36	Professional		$23.26	$26.50	$27.36
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $29.10 / $37.42 / $54.00	Professional		$29.10	$37.42	$54.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $30.98 / $30.98	Facility		$27.09	$30.98	$30.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.14 / $41.14 / $41.14	Facility		$41.14	$41.14	$41.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $28.57	Professional		$28.57	$28.57	$28.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $154.90 / $154.90 / $154.90	Facility		$154.90	$154.90	$154.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $197.08 / $203.57 / $261.38	Professional		$197.08	$203.57	$261.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.48 / $32.11 / $52.30	Facility		$24.48	$32.11	$52.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $44.64 / $57.75	Professional		$35.71	$44.64	$57.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $33.97 / $56.33	Professional		$27.55	$33.97	$56.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.38 / $32.11 / $52.20	Facility		$24.38	$32.11	$52.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $79.93	Professional		$28.57	$28.57	$79.93
United Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $36.49 / $56.26	Professional		$26.42	$36.49	$56.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $31.12 / $42.59	Professional		$26.50	$31.12	$42.59