Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.73 / $33.40 / $55.57	Facility	26	$25.73	$33.40	$55.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $91.78 / $159.49	Professional		$70.20	$91.78	$159.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.09 / $35.93 / $61.75	Professional	26	$28.09	$35.93	$61.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $82.71 / $129.57	Professional		$35.40	$82.71	$129.57
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.31 / $39.31 / $41.93	Professional	26	$39.31	$39.31	$41.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.27 / $47.27 / $47.27	Facility	26	$47.27	$47.27	$47.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $112.91 / $205.64	Professional		$77.91	$112.91	$205.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.26 / $46.37 / $83.72	Professional	26	$33.26	$46.37	$83.72
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $207.39 / $207.39	Facility	26	$100.00	$207.39	$207.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $683.45 / $703.95 / $931.80	Professional		$683.45	$703.95	$931.80
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $282.35 / $282.35 / $336.60	Professional	26	$282.35	$282.35	$336.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $135.44 / $178.79 / $433.44	Professional		$135.44	$178.79	$433.44
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $52.56 / $66.70 / $161.72	Professional	26	$52.56	$66.70	$161.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $171.80 / $204.40 / $281.50	Professional		$171.80	$204.40	$281.50
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $47.27 / $47.27 / $47.27	Facility	26	$47.27	$47.27	$47.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.16 / $128.00 / $272.24	Professional		$78.16	$128.00	$272.24
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $33.71 / $44.99 / $80.11	Professional	26	$33.71	$44.99	$80.11
United Facility/Professional Professional Modifier Low / Median / High Price $82.82 / $107.26 / $185.90	Professional		$82.82	$107.26	$185.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.94 / $41.49 / $69.87	Professional	26	$34.94	$41.49	$69.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.48 / $103.88 / $147.22	Professional		$92.48	$103.88	$147.22
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $34.51 / $39.69 / $54.95	Professional	26	$34.51	$39.69	$54.95