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 Facility Modifier TC Low / Median / High Price $17.69 / $44.87 / $166.46	Facility	TC	$17.69	$44.87	$166.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $26.26 / $49.89	Professional		$19.82	$26.26	$49.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.45 / $7.50 / $12.48	Professional	26	$5.45	$7.50	$12.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.27 / $18.20 / $32.79	Professional	TC	$14.27	$18.20	$32.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $23.36 / $28.86	Professional		$21.99	$23.36	$28.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.88 / $12.57 / $14.85	Professional	26	$5.88	$12.57	$14.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $20.59 / $32.47	Professional		$6.59	$20.59	$32.47
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $31.60 / $42.00	Professional		$27.48	$31.60	$42.00
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $19.73 / $19.87 / $21.22	Facility	TC	$19.73	$19.87	$21.22
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $7.54 / $7.54 / $8.21	Professional	26	$7.54	$7.54	$8.21
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 Facility Modifier TC Low / Median / High Price $24.18 / $24.18 / $24.18	Facility	TC	$24.18	$24.18	$24.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $30.81 / $55.64	Professional		$21.50	$30.81	$55.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.47 / $9.22 / $16.46	Professional	26	$6.47	$9.22	$16.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.36 / $21.76 / $39.47	Professional	TC	$15.36	$21.76	$39.47
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 $50.00 / $118.47 / $118.47	Facility	TC	$50.00	$118.47	$118.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $187.12 / $187.12 / $250.20	Professional		$187.12	$187.12	$250.20
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $51.02 / $51.02 / $65.18	Professional	26	$51.02	$51.02	$65.18
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $136.11 / $136.11 / $185.03	Professional	TC	$136.11	$136.11	$185.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $43.19 / $66.23	Professional		$27.48	$43.19	$66.23
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 $27.34 / $34.70 / $47.96	Professional	TC	$27.34	$34.70	$47.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $25.33 / $48.93	Professional		$8.99	$25.33	$48.93
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 Facility Modifier TC Low / Median / High Price $24.18 / $24.18 / $24.18	Facility	TC	$24.18	$24.18	$24.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $35.18 / $73.73	Professional		$22.57	$35.18	$73.73
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $6.68 / $8.88 / $16.17	Professional	26	$6.68	$8.88	$16.17
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $15.35 / $21.45 / $38.36	Professional	TC	$15.35	$21.45	$38.36
United Facility/Professional Professional Modifier Low / Median / High Price $23.67 / $28.76 / $46.48	Professional		$23.67	$28.76	$46.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.93 / $8.61 / $14.72	Professional	26	$6.93	$8.61	$14.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.57 / $20.46 / $32.88	Professional	TC	$16.57	$20.46	$32.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $27.48 / $39.06	Professional		$24.57	$27.48	$39.06
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 $17.95 / $19.87 / $28.53	Professional	TC	$17.95	$19.87	$28.53