Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.96 / $62.59 / $79.31	Facility	26	$49.96	$62.59	$79.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.11 / $231.23 / $413.85	Professional		$174.11	$231.23	$413.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $61.65 / $92.60	Professional	26	$51.30	$61.65	$92.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.41 / $195.51 / $257.36	Professional		$156.41	$195.51	$257.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.31 / $56.65 / $110.46	Professional	26	$46.31	$56.65	$110.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $151.56 / $242.19	Professional		$51.34	$151.56	$242.19
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $56.07 / $56.07 / $60.33	Professional	26	$56.07	$56.07	$60.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $68.70	Facility	26	$68.70	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.19 / $303.23 / $595.91	Professional		$166.19	$303.23	$595.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.63 / $71.22 / $123.58	Professional	26	$46.63	$71.22	$123.58
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $434.48 / $546.72 / $561.91	Facility	26	$434.48	$546.72	$561.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,293.84 / $2,362.66 / $2,362.66	Professional		$2,293.84	$2,362.66	$2,362.66
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $523.40 / $523.40 / $523.40	Professional	26	$523.40	$523.40	$523.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $241.79 / $319.16 / $659.00	Professional		$241.79	$319.16	$659.00
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $74.84 / $95.01 / $230.32	Professional	26	$74.84	$95.01	$230.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.89 / $166.89 / $330.17	Professional		$64.89	$166.89	$330.17
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $68.70	Facility	26	$68.70	$68.70	$68.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.60 / $325.00 / $609.12	Professional		$178.60	$325.00	$609.12
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $50.14 / $70.84 / $122.79	Professional	26	$50.14	$70.84	$122.79
United Facility/Professional Professional Modifier Low / Median / High Price $202.39 / $286.83 / $514.44	Professional		$202.39	$286.83	$514.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.86 / $64.95 / $113.68	Professional	26	$51.86	$64.95	$113.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.09 / $185.02 / $262.72	Professional		$165.09	$185.02	$262.72
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $49.14 / $56.65 / $78.15	Professional	26	$49.14	$56.65	$78.15