Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $45.15 / $69.94	Facility	26	$37.15	$45.15	$69.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.90 / $82.37 / $153.34	Professional		$69.90	$82.37	$153.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $45.15 / $81.73	Professional	26	$37.15	$45.15	$81.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.42 / $72.42 / $72.42	Professional		$72.42	$72.42	$72.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $74.36 / $129.63	Professional		$42.17	$74.36	$129.63
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $47.96 / $47.96 / $47.96	Professional	26	$47.96	$47.96	$47.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.99 / $119.21 / $171.46	Professional		$89.99	$119.21	$171.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.91 / $63.50 / $92.10	Professional	26	$48.91	$63.50	$92.10
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $108.26 / $210.41 / $216.03	Facility	26	$108.26	$210.41	$216.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $614.40 / $618.72 / $765.98	Professional		$614.40	$618.72	$765.98
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $314.88 / $320.32 / $408.38	Professional	26	$314.88	$320.32	$408.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.29 / $131.15 / $154.30	Professional		$94.29	$131.15	$154.30
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $58.45 / $68.79 / $80.93	Professional	26	$58.45	$68.79	$80.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $119.10 / $119.10	Professional		$119.10	$119.10	$119.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.05 / $119.21 / $174.12	Professional		$90.05	$119.21	$174.12
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $49.01 / $63.37 / $92.10	Professional	26	$49.01	$63.37	$92.10
United Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $95.88 / $150.55	Professional		$67.91	$95.88	$150.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.03 / $52.80 / $81.61	Professional	26	$37.03	$52.80	$81.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $82.22 / $115.01	Professional		$73.16	$82.22	$115.01
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $38.36 / $43.71 / $59.66	Professional	26	$38.36	$43.71	$59.66