Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.27 / $8.14 / $13.63	Facility	26	$6.27	$8.14	$13.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $27.41 / $48.69	Professional		$20.91	$27.41	$48.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.55 / $8.73 / $16.53	Professional	26	$6.55	$8.73	$16.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.65 / $18.84 / $31.34	Professional	TC	$14.65	$18.84	$31.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $22.78 / $52.98	Professional		$20.77	$22.78	$52.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $15.18 / $18.86	Professional	26	$7.36	$15.18	$18.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $22.64 / $36.53	Professional		$8.11	$22.64	$36.53
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $29.68 / $34.13 / $45.00	Professional		$29.68	$34.13	$45.00
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $9.11 / $9.89	Professional	26	$9.11	$9.11	$9.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.79 / $10.79 / $10.79	Facility	26	$10.79	$10.79	$10.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.84 / $33.93 / $59.80	Professional		$23.84	$33.93	$59.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $10.89 / $20.29	Professional	26	$7.78	$10.89	$20.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.05 / $23.62 / $41.53	Professional	TC	$16.05	$23.62	$41.53
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 $206.60 / $206.60 / $269.25	Professional		$206.60	$206.60	$269.25
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $78.44 / $78.44 / $78.59	Professional	26	$78.44	$78.44	$78.59
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $190.73 / $193.00 / $193.00	Professional	TC	$190.73	$193.00	$193.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $51.23 / $73.11	Professional		$38.81	$51.23	$73.11
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.19 / $15.48 / $37.52	Professional	26	$12.19	$15.48	$37.52
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $28.17 / $35.76 / $86.68	Professional	TC	$28.17	$35.76	$86.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $57.50 / $87.00	Professional		$38.40	$57.50	$87.00
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $10.79 / $10.79 / $10.79	Facility	26	$10.79	$10.79	$10.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $37.82 / $82.69	Professional		$24.70	$37.82	$82.69
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.96 / $10.57 / $19.22	Professional	26	$7.96	$10.57	$19.22
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $16.05 / $22.84 / $40.11	Professional	TC	$16.05	$22.84	$40.11
United Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $31.00 / $51.27	Professional		$25.41	$31.00	$51.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.38 / $9.94 / $16.76	Professional	26	$8.38	$9.94	$16.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.07 / $21.29 / $34.06	Professional	TC	$17.07	$21.29	$34.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $29.68 / $42.13	Professional		$26.50	$29.68	$42.13
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.01 / $9.19 / $12.73	Professional	26	$8.01	$9.19	$12.73
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $18.48 / $20.48 / $29.40	Professional	TC	$18.48	$20.48	$29.40