Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.93 / $8.99 / $13.88	Facility	26	$6.93	$8.99	$13.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $38.02 / $78.84	Professional		$26.75	$38.02	$78.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.45 / $9.98 / $23.12	Professional	26	$7.45	$9.98	$23.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.61 / $25.35 / $50.62	Professional	TC	$18.61	$25.35	$50.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $32.83 / $65.18	Professional		$27.99	$32.83	$65.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.15 / $12.53 / $19.87	Professional	26	$8.15	$12.53	$19.87
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.72 / $21.03 / $35.44	Professional	TC	$14.72	$21.03	$35.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $28.06 / $41.02	Professional		$8.78	$28.06	$41.02
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $52.00 / $71.12	Professional		$36.47	$52.00	$71.12
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $10.08 / $10.60 / $23.69	Professional	26	$10.08	$10.60	$23.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.36 / $12.36 / $12.36	Facility	26	$12.36	$12.36	$12.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $41.62 / $73.43	Professional		$29.14	$41.62	$73.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $12.14 / $22.37	Professional	26	$8.66	$12.14	$22.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.69 / $29.48 / $53.18	Professional	TC	$20.69	$29.48	$53.18
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $34.36 / $100.00 / $100.00	Facility	26	$34.36	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $252.05 / $252.05 / $330.53	Professional		$252.05	$252.05	$330.53
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $92.47 / $92.47 / $92.47	Professional	26	$92.47	$92.47	$92.47
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $226.00 / $226.00 / $244.43	Professional	TC	$226.00	$226.00	$244.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $55.35 / $89.08	Professional		$19.00	$55.35	$89.08
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 $36.17 / $45.90 / $111.28	Professional	TC	$36.17	$45.90	$111.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $33.56 / $64.63	Professional		$11.54	$33.56	$64.63
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $12.36 / $12.36 / $12.36	Facility	26	$12.36	$12.36	$12.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $46.37 / $101.52	Professional		$30.05	$46.37	$101.52
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.68 / $11.73 / $21.17	Professional	26	$8.68	$11.73	$21.17
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $20.69 / $29.40 / $51.11	Professional	TC	$20.69	$29.40	$51.11
United Facility/Professional Professional Modifier Low / Median / High Price $31.18 / $38.11 / $62.90	Professional		$31.18	$38.11	$62.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $11.31 / $20.25	Professional	26	$9.27	$11.31	$20.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.65 / $26.60 / $43.90	Professional	TC	$21.65	$26.60	$43.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $36.47 / $51.81	Professional		$32.58	$36.47	$51.81
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.83 / $10.19 / $14.05	Professional	26	$8.83	$10.19	$14.05
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $23.74 / $26.28 / $37.76	Professional	TC	$23.74	$26.28	$37.76