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 / $17.80	Facility	26	$8.68	$11.24	$17.80
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.41 / $72.27 / $443.69	Facility	TC	$26.41	$72.27	$443.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $42.46 / $83.95	Professional		$30.12	$42.46	$83.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $13.25 / $29.18	Professional	26	$9.27	$13.25	$29.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.85 / $28.17 / $47.57	Professional	TC	$20.85	$28.17	$47.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.02 / $35.07 / $73.98	Professional		$29.02	$35.07	$73.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.18 / $12.72 / $24.81	Professional	26	$10.18	$12.72	$24.81
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.11 / $20.11 / $22.98	Professional	TC	$20.11	$20.11	$22.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $32.32 / $49.04	Professional		$11.14	$32.32	$49.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $62.18 / $80.83	Professional		$43.60	$62.18	$80.83
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $28.27 / $28.73 / $30.63	Facility	TC	$28.27	$28.73	$30.63
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 Facility Modifier TC Low / Median / High Price $35.04 / $35.04 / $35.04	Facility	TC	$35.04	$35.04	$35.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $51.28 / $90.48	Professional		$35.09	$51.28	$90.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.13 / $17.35 / $33.74	Professional	26	$11.13	$17.35	$33.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.25 / $34.03 / $59.52	Professional	TC	$23.25	$34.03	$59.52
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $49.08 / $100.00 / $100.00	Facility	26	$49.08	$100.00	$100.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $73.63 / $171.67 / $171.67	Facility	TC	$73.63	$171.67	$171.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $314.00 / $314.00 / $374.55	Professional		$314.00	$314.00	$374.55
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $107.32 / $107.32 / $107.48	Professional	26	$107.32	$107.32	$107.48
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $267.08 / $296.00 / $296.00	Professional	TC	$267.08	$296.00	$296.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.95 / $71.51 / $138.44	Professional		$40.95	$71.51	$138.44
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 $39.53 / $50.18 / $121.64	Professional	TC	$39.53	$50.18	$121.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $44.05 / $85.80	Professional		$15.59	$44.05	$85.80
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 Facility Modifier TC Low / Median / High Price $35.04 / $35.04 / $35.04	Facility	TC	$35.04	$35.04	$35.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $55.53 / $117.13	Professional		$36.32	$55.53	$117.13
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $11.23 / $16.70 / $31.46	Professional	26	$11.23	$16.70	$31.46
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $23.73 / $33.43 / $58.19	Professional	TC	$23.73	$33.43	$58.19
United Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $45.91 / $76.08	Professional		$38.04	$45.91	$76.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.32 / $16.30 / $26.85	Professional	26	$13.32	$16.30	$26.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.14 / $30.06 / $49.42	Professional	TC	$25.14	$30.06	$49.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.99 / $41.45 / $58.86	Professional		$36.99	$41.45	$58.86
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 $25.95 / $28.73 / $41.28	Professional	TC	$25.95	$28.73	$41.28