Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.71 / $8.69 / $13.80	Facility	26	$6.71	$8.69	$13.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $36.27 / $69.15	Professional		$27.85	$36.27	$69.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $9.40 / $15.88	Professional	26	$7.23	$9.40	$15.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.37 / $26.85 / $49.21	Professional	TC	$20.37	$26.85	$49.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $37.97	Professional		$28.18	$28.18	$37.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.89 / $7.89 / $8.21	Professional	26	$7.89	$7.89	$8.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $28.94 / $44.94	Professional		$8.74	$28.94	$44.94
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $9.76 / $9.76 / $10.57	Professional	26	$9.76	$9.76	$10.57
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 $29.78 / $42.26 / $76.17	Professional		$29.78	$42.26	$76.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.58 / $12.10 / $22.41	Professional	26	$8.58	$12.10	$22.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.22 / $30.58 / $55.18	Professional	TC	$21.22	$30.58	$55.18
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 $267.27 / $267.27 / $344.93	Professional		$267.27	$267.27	$344.93
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $85.85 / $85.85 / $85.85	Professional	26	$85.85	$85.85	$85.85
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $244.00 / $244.00 / $261.45	Professional	TC	$244.00	$244.00	$261.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $65.65 / $159.16	Professional		$49.74	$65.65	$159.16
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.04 / $16.55 / $40.11	Professional	26	$13.04	$16.55	$40.11
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $38.69 / $49.10 / $119.04	Professional	TC	$38.69	$49.10	$119.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $78.20 / $112.80	Professional		$64.09	$78.20	$112.80
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 $30.81 / $47.28 / $103.03	Professional		$30.81	$47.28	$103.03
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.73 / $11.81 / $21.22	Professional	26	$8.73	$11.81	$21.22
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $21.09 / $29.75 / $53.96	Professional	TC	$21.09	$29.75	$53.96
United Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $38.40 / $63.49	Professional		$32.34	$38.40	$63.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.24 / $10.97 / $18.43	Professional	26	$9.24	$10.97	$18.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.84 / $27.66 / $45.90	Professional	TC	$22.84	$27.66	$45.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $37.97 / $54.01	Professional		$33.96	$37.97	$54.01
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.56 / $9.86 / $13.61	Professional	26	$8.56	$9.86	$13.61
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $25.40 / $28.12 / $40.40	Professional	TC	$25.40	$28.12	$40.40