Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.83 / $7.58 / $12.00	Facility	26	$5.83	$7.58	$12.00
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.32 / $50.66 / $251.64	Facility	TC	$19.32	$50.66	$251.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $30.64 / $59.54	Professional		$21.73	$30.64	$59.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.32 / $8.73 / $21.55	Professional	26	$6.32	$8.73	$21.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.41 / $19.71 / $33.96	Professional	TC	$15.41	$19.71	$33.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.80 / $30.88 / $63.30	Professional		$24.80	$30.88	$63.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.86 / $9.43 / $16.71	Professional	26	$6.86	$9.43	$16.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $24.12 / $34.54	Professional		$7.41	$24.12	$34.54
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $30.88 / $44.24 / $58.52	Professional		$30.88	$44.24	$58.52
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $21.10 / $22.31 / $23.82	Facility	TC	$21.10	$22.31	$23.82
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $6.18 / $8.49 / $9.15	Professional	26	$6.18	$8.49	$9.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $10.36 / $10.36	Facility	26	$10.36	$10.36	$10.36
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $27.15 / $27.15 / $27.15	Facility	TC	$27.15	$27.15	$27.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $33.39 / $59.74	Professional		$23.85	$33.39	$59.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.28 / $10.39 / $18.55	Professional	26	$7.28	$10.39	$18.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.42 / $23.00 / $42.87	Professional	TC	$16.42	$23.00	$42.87
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $50.00 / $70.00 / $70.00	Facility	26	$50.00	$70.00	$70.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $51.52 / $133.13 / $133.13	Facility	TC	$51.52	$133.13	$133.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $208.77 / $208.77 / $280.80	Professional		$208.77	$208.77	$280.80
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $57.45 / $57.45 / $73.13	Professional	26	$57.45	$57.45	$73.13
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $151.32 / $151.32 / $207.68	Professional	TC	$151.32	$151.32	$207.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $48.53 / $113.75	Professional		$21.45	$48.53	$113.75
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.35 / $14.40 / $34.92	Professional	26	$11.35	$14.40	$34.92
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $30.69 / $38.96 / $94.44	Professional	TC	$30.69	$38.96	$94.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $27.89 / $57.57	Professional		$9.66	$27.89	$57.57
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $10.36 / $10.36	Facility	26	$10.36	$10.36	$10.36
Providence Facility/Professional Facility Modifier TC Low / Median / High Price $27.15 / $27.15 / $27.15	Facility	TC	$27.15	$27.15	$27.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $37.75 / $79.20	Professional		$24.02	$37.75	$79.20
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.52 / $9.99 / $18.22	Professional	26	$7.52	$9.99	$18.22
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $16.18 / $22.57 / $41.48	Professional	TC	$16.18	$22.57	$41.48
United Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $31.38 / $50.45	Professional		$25.46	$31.38	$50.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $9.74 / $16.07	Professional	26	$8.02	$9.74	$16.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.72 / $21.26 / $35.15	Professional	TC	$17.72	$21.26	$35.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $30.88 / $43.89	Professional		$27.61	$30.88	$43.89
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.45 / $8.57 / $11.85	Professional	26	$7.45	$8.57	$11.85
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $20.14 / $22.31 / $32.04	Professional	TC	$20.14	$22.31	$32.04