Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.15 / $9.24 / $14.33	Facility	26	$7.15	$9.24	$14.33
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.00 / $100.23 / $428.20	Facility	TC	$20.00	$100.23	$428.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $34.11 / $74.22	Professional		$25.14	$34.11	$74.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.68 / $10.82 / $29.86	Professional	26	$7.68	$10.82	$29.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.22 / $21.82 / $44.93	Professional	TC	$17.22	$21.82	$44.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.03 / $29.18 / $61.26	Professional		$24.03	$29.18	$61.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.34 / $11.54 / $20.46	Professional	26	$8.34	$11.54	$20.46
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $20.98 / $33.38	Professional	TC	$19.07	$20.98	$33.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $27.06 / $41.75	Professional		$9.06	$27.06	$41.75
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $51.50 / $66.94	Professional		$36.04	$51.50	$66.94
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $23.15 / $23.84 / $25.44	Facility	TC	$23.15	$23.84	$25.44
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $10.39 / $10.92 / $22.16	Professional	26	$10.39	$10.92	$22.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.36 / $12.36 / $12.36	Facility	26	$12.36	$12.36	$12.36
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $29.08 / $29.08 / $29.08	Facility	TC	$29.08	$29.08	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $37.74 / $68.58	Professional		$26.80	$37.74	$68.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.86 / $12.65 / $22.64	Professional	26	$8.86	$12.65	$22.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.69 / $25.05 / $46.32	Professional	TC	$17.69	$25.05	$46.32
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $26.10 / $70.00 / $70.00	Facility	26	$26.10	$70.00	$70.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $50.86 / $142.31 / $142.31	Facility	TC	$50.86	$142.31	$142.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $236.84 / $236.84 / $310.73	Professional		$236.84	$236.84	$310.73
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $70.37 / $70.37 / $88.88	Professional	26	$70.37	$70.37	$88.88
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $166.53 / $166.53 / $221.85	Professional	TC	$166.53	$166.53	$221.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $49.67 / $117.00	Professional		$19.50	$49.67	$117.00
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.87 / $17.61 / $32.79	Professional	26	$13.87	$17.61	$32.79
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $32.79 / $41.63 / $100.92	Professional	TC	$32.79	$41.63	$100.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $28.89 / $62.77	Professional		$11.54	$28.89	$62.77
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $12.36 / $12.36 / $12.36	Facility	26	$12.36	$12.36	$12.36
Providence Facility/Professional Facility Modifier TC Low / Median / High Price $29.08 / $29.08 / $29.08	Facility	TC	$29.08	$29.08	$29.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.24 / $43.45 / $93.02	Professional		$27.24	$43.45	$93.02
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $12.33 / $22.32	Professional	26	$9.11	$12.33	$22.32
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $17.63 / $24.58 / $45.65	Professional	TC	$17.63	$24.58	$45.65
United Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $35.61 / $57.26	Professional		$28.76	$35.61	$57.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $11.90 / $19.05	Professional	26	$9.55	$11.90	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.69 / $23.31 / $38.54	Professional	TC	$18.69	$23.31	$38.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $34.33 / $48.74	Professional		$30.64	$34.33	$48.74
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $10.49 / $14.50	Professional	26	$9.11	$10.49	$14.50
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $21.53 / $23.84 / $34.24	Professional	TC	$21.53	$23.84	$34.24