Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.46 / $12.33 / $19.32	Facility	26	$9.46	$12.33	$19.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $80.50 / $127.86	Professional		$61.97	$80.50	$127.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.14 / $13.10 / $20.07	Professional	26	$10.14	$13.10	$20.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $70.02 / $108.24	Professional		$19.19	$70.02	$108.24
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $14.17 / $14.17 / $15.15	Professional	26	$14.17	$14.17	$15.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.36	Facility	26	$17.36	$17.36	$17.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.16 / $92.84 / $180.78	Professional		$66.16	$92.84	$180.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.17 / $17.32 / $30.70	Professional	26	$12.17	$17.32	$30.70
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $110.00 / $137.84 / $141.91	Facility	26	$110.00	$137.84	$141.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $611.40 / $611.40 / $867.00	Professional		$611.40	$611.40	$867.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $163.46 / $163.46 / $163.46	Professional	26	$163.46	$163.46	$163.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $124.54 / $164.39 / $398.52	Professional		$124.54	$164.39	$398.52
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $18.93 / $24.02 / $58.24	Professional	26	$18.93	$24.02	$58.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.20 / $157.19 / $189.40	Professional		$111.20	$157.19	$189.40
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.36	Facility	26	$17.36	$17.36	$17.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.65 / $104.42 / $244.10	Professional		$68.65	$104.42	$244.10
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $12.48 / $16.55 / $29.45	Professional	26	$12.48	$16.55	$29.45
United Facility/Professional Professional Modifier Low / Median / High Price $69.43 / $85.37 / $141.15	Professional		$69.43	$85.37	$141.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.87 / $14.98 / $25.77	Professional	26	$12.87	$14.98	$25.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.03 / $94.71 / $135.32	Professional		$85.03	$94.71	$135.32
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $12.43 / $14.32 / $19.73	Professional	26	$12.43	$14.32	$19.73