Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.68 / $343.80 / $534.60	Facility		$68.68	$343.80	$534.60
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.18 / $39.31 / $53.02	Facility	26	$36.18	$39.31	$53.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.71 / $75.64 / $238.29	Professional		$58.71	$75.64	$238.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.88 / $43.26 / $91.96	Professional	26	$34.88	$43.26	$91.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.98 / $32.56 / $148.66	Professional	TC	$25.98	$32.56	$148.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $145.90	Professional		$30.00	$30.00	$145.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.44 / $29.44 / $76.97	Professional	26	$29.44	$29.44	$76.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.94 / $47.64 / $162.81	Facility		$28.94	$47.64	$162.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.18 / $48.77 / $81.37	Professional		$29.18	$48.77	$81.37
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $21.22 / $32.29 / $112.95	Facility		$21.22	$32.29	$112.95
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $79.48 / $119.23	Professional		$58.65	$79.48	$119.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $64.52 / $124.03 / $124.03	Facility		$64.52	$124.03	$124.03
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $21.97 / $21.97 / $36.50	Professional	26	$21.97	$21.97	$36.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.67 / $122.56 / $335.83	Professional		$67.67	$122.56	$335.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.15 / $63.17 / $138.08	Professional	26	$38.15	$63.17	$138.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.96 / $47.67 / $205.36	Professional	TC	$28.96	$47.67	$205.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,922.50	Facility		$55.00	$55.00	$2,922.50
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $166.52 / $323.94 / $323.94	Facility	26	$166.52	$323.94	$323.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,172.83 / $1,317.18 / $1,317.18	Professional		$1,172.83	$1,317.18	$1,317.18
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $638.00 / $638.00 / $638.00	Professional	26	$638.00	$638.00	$638.00
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $870.88 / $870.88 / $870.88	Professional	TC	$870.88	$870.88	$870.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.76 / $86.02 / $290.47	Facility		$60.76	$86.02	$290.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.43 / $97.00 / $357.12	Professional		$71.43	$97.00	$357.12
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $41.36 / $53.95 / $65.58	Professional	26	$41.36	$53.95	$65.58
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $31.50 / $41.08 / $49.94	Professional	TC	$31.50	$41.08	$49.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $73.08 / $392.10	Professional		$24.36	$73.08	$392.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.41 / $86.67 / $294.83	Facility		$61.41	$86.67	$294.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.53 / $128.90 / $328.79	Professional		$69.53	$128.90	$328.79
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $38.24 / $62.20 / $138.71	Professional	26	$38.24	$62.20	$138.71
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $29.06 / $45.82 / $205.36	Professional	TC	$29.06	$45.82	$205.36
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $949.00 / $2,405.00	Facility		$140.00	$949.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $115.34 / $300.23	Professional		$58.90	$115.34	$300.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.09 / $59.08 / $112.05	Professional	26	$33.09	$59.08	$112.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.85 / $48.77 / $179.82	Professional	TC	$24.85	$48.77	$179.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.01 / $62.08 / $84.16	Professional		$53.01	$62.08	$84.16
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $30.09 / $35.32 / $47.72	Professional	26	$30.09	$35.32	$47.72
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $22.92 / $26.76 / $36.44	Professional	TC	$22.92	$26.76	$36.44