Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $10.23 / $14.45	Facility	26	$8.91	$10.23	$14.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $123.03	Professional		$61.66	$85.11	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.13 / $23.99	Professional	26	$10.00	$14.13	$23.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $85.11 / $104.71	Professional		$18.62	$85.11	$104.71
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $64.57 / $154.88	Professional		$58.88	$64.57	$154.88
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $14.45 / $15.14	Professional	26	$14.13	$14.45	$15.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.72 / $17.38 / $24.55	Facility	26	$3.72	$17.38	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $186.21	Professional		$66.07	$97.72	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $17.78 / $34.67	Professional	26	$12.59	$17.78	$34.67
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $138.04 / $138.04	Facility	26	$138.04	$138.04	$138.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $870.96	Professional		$616.60	$870.96	$870.96
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $162.18 / $162.18 / $162.18	Professional	26	$162.18	$162.18	$162.18
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $10.00 / $12.02	Facility	26	$8.91	$10.00	$12.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $194.98	Professional		$64.57	$93.33	$194.98
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $15.14 / $28.18	Professional	26	$10.96	$15.14	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $33.11 / $89.13	Professional		$12.59	$33.11	$89.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $194.98	Professional		$123.03	$173.78	$194.98
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $3.72 / $17.38 / $24.55	Facility	26	$3.72	$17.38	$24.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $208.93	Professional		$66.07	$97.72	$208.93
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $16.22 / $28.84	Professional	26	$12.59	$16.22	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $85.11 / $134.90	Professional		$67.61	$85.11	$134.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $14.79 / $25.70	Professional	26	$12.88	$14.79	$25.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $100.00 / $120.23	Professional		$95.50	$100.00	$120.23
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $15.85 / $18.62	Professional	26	$15.14	$15.85	$18.62