Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.73 / $6.17 / $9.78	Facility	26	$4.73	$6.17	$9.78
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $11.55 / $31.19 / $269.97	Facility	TC	$11.55	$31.19	$269.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $20.92 / $36.06	Professional		$14.69	$20.92	$36.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.19 / $6.82 / $15.60	Professional	26	$5.19	$6.82	$15.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $57.00 / $57.00 / $57.00	Professional	50	$57.00	$57.00	$57.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.49 / $13.53 / $24.51	Professional	TC	$9.49	$13.53	$24.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $16.80 / $28.00	Professional		$15.69	$16.80	$28.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.59 / $9.23 / $13.63	Professional	26	$5.59	$9.23	$13.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $15.85 / $23.48	Professional		$6.04	$15.85	$23.48
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $32.21 / $40.00	Professional		$21.14	$32.21	$40.00
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $12.89 / $13.14 / $14.08	Facility	TC	$12.89	$13.14	$14.08
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $6.92 / $7.54	Professional	26	$6.92	$6.92	$7.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.46 / $8.46 / $8.46	Facility	26	$8.46	$8.46	$8.46
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $16.03 / $16.03 / $16.03	Facility	TC	$16.03	$16.03	$16.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $25.03 / $45.40	Professional		$17.14	$25.03	$45.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.94 / $8.42 / $15.34	Professional	26	$5.94	$8.42	$15.34
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $31.05 / $31.05 / $37.46	Professional	50	$31.05	$31.05	$37.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $16.92 / $30.64	Professional	TC	$10.96	$16.92	$30.64
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $19.63 / $100.00 / $100.00	Facility	26	$19.63	$100.00	$100.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $34.36 / $100.00 / $100.00	Facility	TC	$34.36	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $172.00 / $182.55	Professional		$172.00	$172.00	$182.55
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $72.64 / $72.64 / $72.64	Professional	26	$72.64	$72.64	$72.64
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $122.85 / $148.00 / $148.00	Professional	TC	$122.85	$148.00	$148.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $34.07 / $61.75	Professional		$13.02	$34.07	$61.75
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.26 / $11.75 / $28.48	Professional	26	$9.26	$11.75	$28.48
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $18.07 / $22.95 / $55.64	Professional	TC	$18.07	$22.95	$55.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $17.60 / $36.15	Professional		$8.19	$17.60	$36.15
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $8.46 / $8.46 / $8.46	Facility	26	$8.46	$8.46	$8.46
Providence Facility/Professional Facility Modifier TC Low / Median / High Price $16.03 / $16.03 / $16.03	Facility	TC	$16.03	$16.03	$16.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $27.44 / $56.95	Professional		$17.52	$27.44	$56.95
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $6.16 / $8.15 / $14.57	Professional	26	$6.16	$8.15	$14.57
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $11.04 / $15.55 / $29.92	Professional	TC	$11.04	$15.55	$29.92
United Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $23.23 / $37.13	Professional		$18.82	$23.23	$37.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.35 / $7.60 / $12.98	Professional	26	$6.35	$7.60	$12.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $15.38 / $23.99	Professional	TC	$12.02	$15.38	$23.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $20.13 / $28.50	Professional		$17.95	$20.13	$28.50
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.08 / $6.99 / $9.64	Professional	26	$6.08	$6.99	$9.64
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $11.87 / $13.14 / $18.85	Professional	TC	$11.87	$13.14	$18.85