Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.07 / $5.32 / $8.46	Facility	26	$4.07	$5.32	$8.46
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.57 / $55.91 / $346.76	Facility	TC	$17.57	$55.91	$346.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $29.69 / $105.40	Professional		$18.94	$29.69	$105.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.45 / $6.11 / $18.42	Professional	26	$4.45	$6.11	$18.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.18 / $21.59 / $45.51	Professional	TC	$15.18	$21.59	$45.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $22.09 / $38.52	Professional		$18.77	$22.09	$38.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.96 / $6.64 / $11.77	Professional	26	$4.96	$6.64	$11.77
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $11.64 / $16.63 / $16.63	Professional	TC	$11.64	$16.63	$16.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $20.59 / $30.10	Professional		$5.22	$20.59	$30.10
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $36.75 / $52.30	Professional		$26.00	$36.75	$52.30
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $20.41 / $20.78 / $22.19	Facility	TC	$20.41	$20.78	$22.19
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $5.98 / $6.41 / $17.25	Professional	26	$5.98	$6.41	$17.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.31 / $7.31 / $7.31	Facility	26	$7.31	$7.31	$7.31
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $25.73 / $25.73 / $25.73	Facility	TC	$25.73	$25.73	$25.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.81 / $29.96 / $56.74	Professional		$21.81	$29.96	$56.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.13 / $7.23 / $13.31	Professional	26	$5.13	$7.23	$13.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.52 / $23.06 / $43.53	Professional	TC	$16.52	$23.06	$43.53
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $17.18 / $100.00 / $100.00	Facility	26	$17.18	$100.00	$100.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $47.96 / $123.98 / $123.98	Facility	TC	$47.96	$123.98	$123.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $187.25 / $187.25 / $245.33	Professional		$187.25	$187.25	$245.33
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $54.49 / $54.49 / $54.49	Professional	26	$54.49	$54.49	$54.49
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $146.99 / $146.99 / $193.58	Professional	TC	$146.99	$146.99	$193.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $42.21 / $66.23	Professional		$14.27	$42.21	$66.23
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.00 / $10.15 / $33.00	Professional	26	$8.00	$10.15	$33.00
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $28.60 / $36.29 / $88.00	Professional	TC	$28.60	$36.29	$88.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $27.94 / $51.69	Professional		$7.43	$27.94	$51.69
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $7.31 / $7.31 / $7.31	Facility	26	$7.31	$7.31	$7.31
Providence Facility/Professional Facility Modifier TC Low / Median / High Price $25.73 / $25.73 / $25.73	Facility	TC	$25.73	$25.73	$25.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $33.93 / $75.84	Professional		$22.82	$33.93	$75.84
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $5.30 / $6.98 / $12.57	Professional	26	$5.30	$6.98	$12.57
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $16.84 / $22.58 / $42.17	Professional	TC	$16.84	$22.58	$42.17
United Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $28.41 / $46.28	Professional		$23.43	$28.41	$46.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.49 / $6.52 / $10.98	Professional	26	$5.49	$6.52	$10.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.84 / $21.65 / $35.14	Professional	TC	$17.84	$21.65	$35.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $26.82 / $38.15	Professional		$24.02	$26.82	$38.15
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.25 / $6.04 / $8.32	Professional	26	$5.25	$6.04	$8.32
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $18.78 / $20.78 / $29.85	Professional	TC	$18.78	$20.78	$29.85