Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.68 / $11.24 / $17.38	Facility	26	$8.68	$11.24	$17.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.39 / $43.20 / $85.17	Professional		$32.39	$43.20	$85.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $12.68 / $25.69	Professional	26	$9.27	$12.68	$25.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.01 / $29.89 / $51.56	Professional	TC	$23.01	$29.89	$51.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $56.11 / $56.11	Professional		$30.94	$56.11	$56.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.18 / $20.99 / $24.81	Professional	26	$10.18	$20.99	$24.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $33.61 / $52.70	Professional		$11.14	$33.61	$52.70
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $12.59 / $13.64	Professional	26	$12.59	$12.59	$13.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.41 / $15.41 / $15.41	Facility	26	$15.41	$15.41	$15.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.58 / $49.09 / $89.06	Professional		$34.58	$49.09	$89.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.99 / $15.41 / $27.98	Professional	26	$10.99	$15.41	$27.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.30 / $34.57 / $62.34	Professional	TC	$24.30	$34.57	$62.34
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $34.36 / $100.00 / $100.00	Facility	26	$34.36	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $400.05 / $438.00 / $438.00	Professional		$400.05	$438.00	$438.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $97.41 / $97.41 / $107.48	Professional	26	$97.41	$97.41	$107.48
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $292.58 / $423.00 / $423.00	Professional	TC	$292.58	$423.00	$423.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.26 / $76.33 / $110.40	Professional		$54.26	$76.33	$110.40
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.82 / $21.35 / $51.76	Professional	26	$16.82	$21.35	$51.76
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $43.32 / $54.98 / $133.28	Professional	TC	$43.32	$54.98	$133.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $91.20 / $131.69	Professional		$74.00	$91.20	$131.69
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $15.41 / $15.41 / $15.41	Facility	26	$15.41	$15.41	$15.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.13 / $54.96 / $120.63	Professional		$36.13	$54.96	$120.63
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $11.21 / $14.97 / $26.62	Professional	26	$11.21	$14.97	$26.62
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $24.04 / $33.70 / $61.10	Professional	TC	$24.04	$33.70	$61.10
United Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $44.92 / $74.27	Professional		$37.82	$44.92	$74.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $13.72 / $23.60	Professional	26	$11.55	$13.72	$23.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.00 / $31.45 / $51.42	Professional	TC	$26.00	$31.45	$51.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $44.20 / $62.82	Professional		$39.47	$44.20	$62.82
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $11.04 / $12.72 / $17.57	Professional	26	$11.04	$12.72	$17.57
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $28.44 / $31.48 / $45.24	Professional	TC	$28.44	$31.48	$45.24