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 / $13.33	Facility	26	$6.27	$8.14	$13.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $17.21 / $26.80	Professional		$12.12	$17.21	$26.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.78 / $9.14 / $15.71	Professional	26	$6.78	$9.14	$15.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.38 / $7.82 / $13.12	Professional	TC	$5.38	$7.82	$13.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $11.90 / $18.57	Professional	26	$8.09	$11.90	$18.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $15.23 / $24.05	Professional		$7.98	$15.23	$24.05
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $24.88 / $33.32	Professional		$17.77	$24.88	$33.32
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $9.43 / $9.43 / $10.23	Professional	26	$9.43	$9.43	$10.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $11.16 / $11.16	Facility	26	$11.16	$11.16	$11.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $22.57 / $45.16	Professional		$15.11	$22.57	$45.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $11.55 / $21.14	Professional	26	$8.09	$11.55	$21.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $6.89 / $11.01 / $26.54	Professional	TC	$6.89	$11.01	$26.54
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $29.45 / $100.00 / $100.00	Facility	26	$29.45	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $186.44 / $206.87 / $206.87	Professional		$186.44	$206.87	$206.87
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $105.66 / $105.66 / $105.66	Professional	26	$105.66	$105.66	$105.66
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $129.58 / $133.46 / $133.46	Professional	TC	$129.58	$133.46	$133.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $30.43 / $40.35	Professional		$17.77	$30.43	$40.35
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.61 / $14.55 / $38.79	Professional	26	$12.61	$14.55	$38.79
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $11.35 / $14.40 / $22.09	Professional	TC	$11.35	$14.40	$22.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $12.53 / $42.90	Professional		$10.86	$12.53	$42.90
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $11.16 / $11.16	Facility	26	$11.16	$11.16	$11.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $25.09 / $48.60	Professional		$15.62	$25.09	$48.60
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.25 / $11.30 / $20.27	Professional	26	$8.25	$11.30	$20.27
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $6.89 / $10.15 / $24.54	Professional	TC	$6.89	$10.15	$24.54
United Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $20.37 / $35.38	Professional		$16.57	$20.37	$35.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $10.61 / $17.57	Professional	26	$8.66	$10.61	$17.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $7.36 / $9.52 / $17.29	Professional	TC	$7.36	$9.52	$17.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $17.77 / $24.99	Professional		$15.74	$17.77	$24.99
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $9.52 / $13.18	Professional	26	$8.27	$9.52	$13.18
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $7.45 / $8.25 / $11.81	Professional	TC	$7.45	$8.25	$11.81