Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.73 / $30.16 / $56.88	Facility	26	$22.73	$30.16	$56.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $49.34 / $120.13	Professional		$38.36	$49.34	$120.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.55 / $28.50 / $82.61	Professional	26	$22.55	$28.50	$82.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $41.98 / $46.13	Professional		$41.98	$41.98	$46.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.37 / $27.49 / $34.64	Professional	26	$23.37	$27.49	$34.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.02 / $39.08 / $65.03	Professional		$23.02	$39.08	$65.03
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $54.84 / $83.03	Professional		$31.00	$54.84	$83.03
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $28.07 / $28.07 / $28.72	Professional	26	$28.07	$28.07	$28.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $63.13 / $97.20	Professional		$47.00	$63.13	$97.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.10 / $38.74 / $58.51	Professional	26	$28.10	$38.74	$58.51
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $70.61 / $131.69 / $137.18	Facility	26	$70.61	$131.69	$137.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $348.00 / $358.08 / $422.33	Professional		$348.00	$358.08	$422.33
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $210.00 / $210.00 / $248.55	Professional	26	$210.00	$210.00	$248.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.47 / $71.81 / $86.17	Professional		$43.47	$71.81	$86.17
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $36.58 / $43.05 / $50.65	Professional	26	$36.58	$43.05	$50.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.60 / $59.60 / $59.60	Professional		$59.60	$59.60	$59.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $63.97 / $101.80	Professional		$47.00	$63.97	$101.80
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $28.10 / $38.75 / $57.99	Professional	26	$28.10	$38.75	$57.99
United Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $53.16 / $83.04	Professional		$39.54	$53.16	$83.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.96 / $32.95 / $51.55	Professional	26	$23.96	$32.95	$51.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $46.13 / $64.38	Professional		$40.86	$46.13	$64.38
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $24.02 / $27.49 / $37.61	Professional	26	$24.02	$27.49	$37.61