Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.49 / $8.42 / $13.36	Facility	26	$6.49	$8.42	$13.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $34.03 / $72.64	Professional		$23.66	$34.03	$72.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.00 / $9.72 / $17.85	Professional	26	$7.00	$9.72	$17.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.19 / $22.48 / $39.97	Professional	TC	$16.19	$22.48	$39.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.72 / $25.82 / $42.45	Professional		$24.72	$25.82	$42.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $13.42 / $18.60	Professional	26	$9.42	$13.42	$18.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $25.65 / $39.57	Professional		$8.24	$25.65	$39.57
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $46.01 / $64.31	Professional		$33.77	$46.01	$64.31
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $9.44 / $10.19 / $24.77	Professional	26	$9.44	$10.19	$24.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.56 / $11.56 / $11.56	Facility	26	$11.56	$11.56	$11.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $39.04 / $69.30	Professional		$26.42	$39.04	$69.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.35 / $12.23 / $22.50	Professional	26	$8.35	$12.23	$22.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.98 / $26.55 / $47.61	Professional	TC	$17.98	$26.55	$47.61
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 $223.92 / $223.92 / $291.45	Professional		$223.92	$223.92	$291.45
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 $210.53 / $211.00 / $211.00	Professional	TC	$210.53	$211.00	$211.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $55.51 / $93.60	Professional		$32.15	$55.51	$93.60
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.61 / $16.01 / $38.79	Professional	26	$12.61	$16.01	$38.79
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $31.12 / $39.50 / $95.76	Professional	TC	$31.12	$39.50	$95.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $28.81 / $57.12	Professional		$10.93	$28.81	$57.12
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $11.56 / $11.56 / $11.56	Facility	26	$11.56	$11.56	$11.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $42.13 / $90.38	Professional		$27.55	$42.13	$90.38
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $11.78 / $21.78	Professional	26	$8.44	$11.78	$21.78
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $17.73 / $26.07 / $46.26	Professional	TC	$17.73	$26.07	$46.26
United Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $35.40 / $57.59	Professional		$27.72	$35.40	$57.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.22 / $10.99 / $18.43	Professional	26	$9.22	$10.99	$18.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.70 / $23.89 / $38.03	Professional	TC	$18.70	$23.89	$38.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $32.15 / $45.66	Professional		$28.71	$32.15	$45.66
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $9.53 / $13.18	Professional	26	$8.27	$9.53	$13.18
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $20.43 / $22.62 / $32.47	Professional	TC	$20.43	$22.62	$32.47