Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $28.18 / $56.23	Facility	26	$21.88	$28.18	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $72.44 / $186.21	Professional		$41.69	$72.44	$186.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $44.67 / $144.54	Professional	26	$24.55	$44.67	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $66.07	Professional		$38.90	$48.98	$66.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $30.90 / $44.67	Professional	26	$26.30	$30.90	$44.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $39.81 / $61.66	Professional		$23.44	$39.81	$61.66
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $91.20	Professional		$46.77	$67.61	$91.20
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $33.11 / $33.11	Professional	26	$28.84	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $61.66 / $102.33	Professional		$46.77	$61.66	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $38.02 / $60.26	Professional	26	$28.18	$38.02	$60.26
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $173.78 / $173.78 / $173.78	Facility	26	$173.78	$173.78	$173.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $346.74 / $426.58	Professional		$63.10	$346.74	$426.58
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $208.93 / $251.19 / $251.19	Professional	26	$208.93	$251.19	$251.19
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $27.54 / $37.15	Facility	26	$21.38	$27.54	$37.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $120.23	Professional		$40.74	$67.61	$120.23
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $39.81 / $81.28	Professional	26	$24.55	$39.81	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $32.36 / $38.02	Professional		$16.22	$32.36	$38.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $123.03	Professional		$72.44	$107.15	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.10 / $100.00	Professional		$47.86	$63.10	$100.00
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $38.90 / $57.54	Professional	26	$28.18	$38.90	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $83.18	Professional		$39.81	$53.70	$83.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $33.11 / $51.29	Professional	26	$23.99	$33.11	$51.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $30.90 / $30.90	Professional	26	$28.18	$30.90	$30.90