Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.17 / $6.73 / $10.85	Facility	26	$5.17	$6.73	$10.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $29.55 / $56.77	Professional		$22.10	$29.55	$56.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.57 / $7.33 / $12.99	Professional	26	$5.57	$7.33	$12.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.19 / $21.36 / $34.90	Professional	TC	$16.19	$21.36	$34.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $33.09 / $44.67	Professional		$24.93	$33.09	$44.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.56 / $13.10 / $19.05	Professional	26	$5.56	$13.10	$19.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $23.11 / $35.67	Professional		$6.55	$23.11	$35.67
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $38.00 / $55.48	Professional		$31.17	$38.00	$55.48
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $7.86 / $7.86 / $8.55	Professional	26	$7.86	$7.86	$8.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $33.00 / $61.11	Professional		$23.96	$33.00	$61.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.68 / $9.50 / $17.16	Professional	26	$6.68	$9.50	$17.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.12 / $24.37 / $44.26	Professional	TC	$17.12	$24.37	$44.26
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $31.90 / $100.00 / $100.00	Facility	26	$31.90	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $210.99 / $210.99 / $283.88	Professional		$210.99	$210.99	$283.88
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $82.56 / $82.56 / $82.56	Professional	26	$82.56	$82.56	$82.56
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $159.97 / $159.97 / $216.15	Professional	TC	$159.97	$159.97	$216.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $50.56 / $74.62	Professional		$31.17	$50.56	$74.62
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.52 / $13.35 / $40.84	Professional	26	$10.52	$13.35	$40.84
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $31.95 / $40.56 / $98.32	Professional	TC	$31.95	$40.56	$98.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $30.40 / $57.07	Professional		$9.35	$30.40	$57.07
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $38.04 / $82.96	Professional		$24.32	$38.04	$82.96
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $6.81 / $9.25 / $16.57	Professional	26	$6.81	$9.25	$16.57
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $17.12 / $23.56 / $43.11	Professional	TC	$17.12	$23.56	$43.11
United Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $30.86 / $51.97	Professional		$25.74	$30.86	$51.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.22 / $8.57 / $14.43	Professional	26	$7.22	$8.57	$14.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.72 / $22.29 / $36.85	Professional	TC	$17.72	$22.29	$36.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $31.17 / $44.33	Professional		$27.88	$31.17	$44.33
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.90 / $7.94 / $10.96	Professional	26	$6.90	$7.94	$10.96
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $20.98 / $23.23 / $33.36	Professional	TC	$20.98	$23.23	$33.36