Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.63 / $33.36 / $50.67	Facility	26	$25.63	$33.36	$50.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $96.12 / $156.86	Professional		$73.29	$96.12	$156.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.27 / $34.79 / $55.92	Professional	26	$27.27	$34.79	$55.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.53 / $37.53 / $37.53	Professional	26	$37.53	$37.53	$37.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $82.14 / $130.74	Professional		$33.02	$82.14	$130.74
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $37.15 / $41.25	Professional	26	$37.15	$37.15	$41.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.12 / $45.12 / $45.12	Facility	26	$45.12	$45.12	$45.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $124.96 / $357.84	Professional		$80.31	$124.96	$357.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.11 / $45.63 / $84.13	Professional	26	$32.11	$45.63	$84.13
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $110.44 / $193.99 / $193.99	Facility	26	$110.44	$193.99	$193.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,963.99 / $2,022.91 / $2,022.91	Professional		$1,963.99	$2,022.91	$2,022.91
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $549.82 / $549.82 / $549.82	Professional	26	$549.82	$549.82	$549.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.24 / $177.19 / $255.84	Professional		$134.24	$177.19	$255.84
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $49.62 / $62.98 / $152.68	Professional	26	$49.62	$62.98	$152.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.37 / $88.72 / $189.07	Professional		$42.37	$88.72	$189.07
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $45.12 / $45.12 / $45.12	Facility	26	$45.12	$45.12	$45.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.52 / $136.13 / $319.70	Professional		$80.52	$136.13	$319.70
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $33.24 / $44.24 / $80.17	Professional	26	$33.24	$44.24	$80.17
United Facility/Professional Professional Modifier Low / Median / High Price $87.19 / $113.50 / $228.08	Professional		$87.19	$113.50	$228.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.94 / $42.11 / $72.06	Professional	26	$34.94	$42.11	$72.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.65 / $102.94 / $145.85	Professional		$91.65	$102.94	$145.85
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $32.58 / $37.53 / $51.81	Professional	26	$32.58	$37.53	$51.81