Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $251.17 / $509.57	Facility		$33.34	$251.17	$509.57
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.93 / $8.98 / $13.91	Facility	26	$6.93	$8.98	$13.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.39 / $74.12	Professional		$23.99	$32.39	$74.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.45 / $9.98 / $22.87	Professional	26	$7.45	$9.98	$22.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.07 / $22.41 / $42.20	Professional	TC	$17.07	$22.41	$42.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $28.82 / $60.74	Professional		$23.81	$28.82	$60.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.14 / $11.19 / $19.82	Professional	26	$8.14	$11.19	$19.82
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $20.26 / $20.35	Professional	TC	$17.48	$20.26	$20.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $193.14 / $340.79	Facility		$73.43	$193.14	$340.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $26.67 / $39.07	Professional		$8.78	$26.67	$39.07
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $34.01 / $154.09 / $253.28	Facility		$34.01	$154.09	$253.28
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $34.01 / $51.02 / $66.31	Professional		$34.01	$51.02	$66.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $33.90 / $35.74 / $61.81	Facility		$33.90	$35.74	$61.81
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $10.07 / $10.59 / $18.53	Professional	26	$10.07	$10.59	$18.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $103.51 / $281.97	Facility		$44.00	$103.51	$281.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $11.95	Facility	26	$11.95	$11.95	$11.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $37.08 / $67.95	Professional		$26.50	$37.08	$67.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.63 / $12.14 / $22.47	Professional	26	$8.63	$12.14	$22.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.73 / $25.71 / $46.32	Professional	TC	$17.73	$25.71	$46.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.90 / $359.91 / $359.91	Facility		$85.90	$359.91	$359.91
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $36.81 / $100.00 / $100.00	Facility	26	$36.81	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $236.90 / $236.90 / $308.18	Professional		$236.90	$236.90	$308.18
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $82.56 / $82.56 / $86.33	Professional	26	$82.56	$82.56	$86.33
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $190.00 / $190.00 / $221.85	Professional	TC	$190.00	$190.00	$221.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.19 / $39.63 / $68.45	Facility		$29.19	$39.63	$68.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $58.71 / $83.75	Professional		$18.96	$58.71	$83.75
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.46 / $17.07 / $41.40	Professional	26	$13.46	$17.07	$41.40
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $32.79 / $41.40 / $100.92	Professional	TC	$32.79	$41.40	$100.92
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $71.26 / $92.19 / $230.00	Facility		$71.26	$92.19	$230.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $30.43 / $60.65	Professional		$11.51	$30.43	$60.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.52 / $40.75 / $85.45	Facility		$29.52	$40.75	$85.45
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $11.95	Facility	26	$11.95	$11.95	$11.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.20 / $42.00 / $91.92	Professional		$27.20	$42.00	$91.92
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.82 / $11.93 / $21.22	Professional	26	$8.82	$11.93	$21.22
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $17.63 / $24.56 / $45.79	Professional	TC	$17.63	$24.56	$45.79
United Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $34.29 / $56.69	Professional		$28.71	$34.29	$56.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.24 / $10.98 / $19.64	Professional	26	$9.24	$10.98	$19.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $23.31 / $38.54	Professional	TC	$19.32	$23.31	$38.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.37 / $34.01 / $48.29	Professional		$30.37	$34.01	$48.29
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.83 / $10.17 / $14.05	Professional	26	$8.83	$10.17	$14.05
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $21.53 / $23.84 / $34.24	Professional	TC	$21.53	$23.84	$34.24