Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.37 / $7.08 / $12.30	Facility	26	$5.37	$7.08	$12.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $75.86	Professional		$22.91	$32.36	$75.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.32 / $20.42	Professional	26	$6.03	$8.32	$20.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $22.91 / $44.67	Professional	TC	$15.85	$22.91	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $48.98	Professional		$22.91	$26.92	$48.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $7.76 / $13.49	Professional	26	$5.37	$7.76	$13.49
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $19.50 / $26.30	Professional	TC	$17.78	$19.50	$26.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $25.12 / $33.11	Professional		$6.46	$25.12	$33.11
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $35.48 / $50.12	Professional		$28.18	$35.48	$50.12
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $14.79 / $14.79	Professional	26	$7.94	$14.79	$14.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.04 / $9.55 / $13.49	Facility	26	$2.04	$9.55	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $35.48 / $64.57	Professional		$25.12	$35.48	$64.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $9.77 / $19.50	Professional	26	$6.92	$9.77	$19.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $25.70 / $48.98	Professional	TC	$17.78	$25.70	$48.98
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $275.42	Professional		$208.93	$275.42	$275.42
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $67.61 / $67.61	Professional	26	$66.07	$67.61	$67.61
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $204.17 / $204.17	Professional	TC	$186.21	$204.17	$204.17
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $5.13 / $6.76 / $10.96	Facility	26	$5.13	$6.76	$10.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $36.31 / $79.43	Professional		$23.99	$36.31	$79.43
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $9.77 / $20.89	Professional	26	$6.03	$9.77	$20.89
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $25.70 / $52.48	Professional	TC	$16.98	$25.70	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $32.36 / $33.11	Professional		$7.08	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $89.13	Professional		$48.98	$64.57	$89.13
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $2.04 / $9.55 / $13.49	Facility	26	$2.04	$9.55	$13.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $34.67 / $72.44	Professional		$24.55	$34.67	$72.44
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.12 / $15.85	Professional	26	$7.08	$9.12	$15.85
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.44 / $42.66	Professional	TC	$16.98	$23.44	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.90 / $51.29	Professional		$26.30	$30.90	$51.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $8.51 / $14.45	Professional	26	$7.24	$8.51	$14.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $22.39 / $36.31	Professional	TC	$18.62	$22.39	$36.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $32.36 / $38.90	Professional		$30.90	$32.36	$38.90
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $8.51 / $10.23	Professional	26	$8.13	$8.51	$10.23
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $23.99 / $28.18	Professional	TC	$22.91	$23.99	$28.18