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 / $10.67	Facility	26	$5.17	$6.73	$10.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $31.00 / $64.30	Professional		$20.92	$31.00	$64.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.64 / $7.76 / $24.92	Professional	26	$5.64	$7.76	$24.92
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $99.72 / $99.89 / $102.21	Professional	50	$99.72	$99.89	$102.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.75 / $20.81 / $40.04	Professional	TC	$15.75	$20.81	$40.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.16 / $25.70 / $36.88	Professional		$21.16	$25.70	$36.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.09 / $8.38 / $14.85	Professional	26	$6.09	$8.38	$14.85
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.09 / $29.13 / $29.13	Professional	TC	$18.09	$29.13	$29.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $22.84 / $34.00	Professional		$6.59	$22.84	$34.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $41.42 / $57.35	Professional		$25.70	$41.42	$57.35
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $7.54 / $8.11 / $17.97	Professional	26	$7.54	$8.11	$17.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $32.08 / $59.73	Professional		$23.33	$32.08	$59.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.47 / $9.13 / $16.73	Professional	26	$6.47	$9.13	$16.73
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $37.85 / $37.85 / $45.71	Professional	50	$37.85	$37.85	$45.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.70 / $24.00 / $43.45	Professional	TC	$16.70	$24.00	$43.45
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $22.09 / $100.00 / $100.00	Facility	26	$22.09	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $206.66 / $206.66 / $275.70	Professional		$206.66	$206.66	$275.70
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $79.26 / $79.26 / $79.26	Professional	26	$79.26	$79.26	$79.26
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $161.00 / $161.00 / $210.53	Professional	TC	$161.00	$161.00	$210.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $41.31 / $67.28	Professional		$15.45	$41.31	$67.28
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.09 / $12.80 / $31.04	Professional	26	$10.09	$12.80	$31.04
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 $9.59 / $34.44 / $60.50	Professional		$9.59	$34.44	$60.50
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $36.93 / $81.29	Professional		$23.74	$36.93	$81.29
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $6.69 / $8.86 / $16.17	Professional	26	$6.69	$8.86	$16.17
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $16.61 / $23.32 / $42.39	Professional	TC	$16.61	$23.32	$42.39
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.17 / $51.85	Professional		$25.12	$30.17	$51.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.93 / $8.23 / $14.07	Professional	26	$6.93	$8.23	$14.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $21.94 / $36.29	Professional	TC	$17.32	$21.94	$36.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $30.23 / $43.01	Professional		$27.05	$30.23	$43.01
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.62 / $7.62 / $10.53	Professional	26	$6.62	$7.62	$10.53
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $20.43 / $22.62 / $32.47	Professional	TC	$20.43	$22.62	$32.47