Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.61 / $7.29 / $11.56	Facility	26	$5.61	$7.29	$11.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $33.24 / $62.60	Professional		$25.45	$33.24	$62.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.09 / $7.93 / $15.35	Professional	26	$6.09	$7.93	$15.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $25.00 / $44.57	Professional	TC	$19.48	$25.00	$44.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $28.62 / $30.37	Professional		$25.04	$28.62	$30.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.58 / $6.90 / $14.24	Professional	26	$6.58	$6.90	$14.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $27.08 / $42.46	Professional		$7.64	$27.08	$42.46
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $39.35 / $51.95	Professional		$33.71	$39.35	$51.95
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $8.18 / $8.18 / $9.14	Professional	26	$8.18	$8.18	$9.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $36.85 / $69.94	Professional		$26.98	$36.85	$69.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.19 / $10.00 / $18.14	Professional	26	$7.19	$10.00	$18.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.93 / $27.46 / $52.66	Professional	TC	$19.93	$27.46	$52.66
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $24.54 / $100.00 / $100.00	Facility	26	$24.54	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $293.00 / $293.00 / $326.10	Professional		$293.00	$293.00	$326.10
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $55.28 / $55.28 / $70.34	Professional	26	$55.28	$55.28	$70.34
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $255.75 / $283.00 / $283.00	Professional	TC	$255.75	$283.00	$283.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.01 / $61.91 / $141.09	Professional		$44.01	$61.91	$141.09
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.93 / $13.88 / $33.64	Professional	26	$10.93	$13.88	$33.64
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $37.84 / $48.03 / $116.44	Professional	TC	$37.84	$48.03	$116.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $38.90 / $66.70	Professional		$10.61	$38.90	$66.70
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $42.46 / $92.80	Professional		$27.58	$42.46	$92.80
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.25 / $9.65 / $17.23	Professional	26	$7.25	$9.65	$17.23
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $19.97 / $27.37 / $52.46	Professional	TC	$19.97	$27.37	$52.46
United Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $35.31 / $58.39	Professional		$28.46	$35.31	$58.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $8.91 / $15.15	Professional	26	$7.51	$8.91	$15.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.97 / $26.40 / $42.84	Professional	TC	$20.97	$26.40	$42.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $35.77 / $50.92	Professional		$32.02	$35.77	$50.92
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.18 / $8.26 / $11.41	Professional	26	$7.18	$8.26	$11.41
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $24.84 / $27.51 / $39.51	Professional	TC	$24.84	$27.51	$39.51