Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.24 / $10.68 / $16.93	Facility	26	$8.24	$10.68	$16.93
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.15 / $74.94 / $320.20	Facility	TC	$25.15	$74.94	$320.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $37.82 / $73.73	Professional		$28.76	$37.82	$73.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.82 / $12.06 / $21.96	Professional	26	$8.82	$12.06	$21.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $25.56 / $45.07	Professional	TC	$19.95	$25.56	$45.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.68 / $31.68 / $41.89	Professional		$31.68	$31.68	$41.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.67 / $12.68 / $23.58	Professional	26	$9.67	$12.68	$23.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $31.12 / $48.42	Professional		$10.43	$31.12	$48.42
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $37.22 / $46.09 / $63.37	Professional		$37.22	$46.09	$63.37
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $26.91 / $27.51 / $29.33	Facility	TC	$26.91	$27.51	$29.33
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $11.97 / $11.97 / $12.96	Professional	26	$11.97	$11.97	$12.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.65 / $14.65 / $14.65	Facility	26	$14.65	$14.65	$14.65
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $33.92 / $33.92 / $33.92	Facility	TC	$33.92	$33.92	$33.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $43.44 / $79.18	Professional		$31.37	$43.44	$79.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.28 / $14.94 / $26.61	Professional	26	$10.28	$14.94	$26.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.60 / $29.16 / $53.99	Professional	TC	$20.60	$29.16	$53.99
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $30.22 / $70.00 / $70.00	Facility	26	$30.22	$70.00	$70.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $58.74 / $164.35 / $164.35	Facility	TC	$58.74	$164.35	$164.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $277.95 / $277.95 / $357.83	Professional		$277.95	$277.95	$357.83
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $81.06 / $81.06 / $102.08	Professional	26	$81.06	$81.06	$102.08
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $196.89 / $196.89 / $255.75	Professional	TC	$196.89	$196.89	$255.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $62.10 / $98.23	Professional		$39.60	$62.10	$98.23
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.98 / $20.28 / $49.16	Professional	26	$15.98	$20.28	$49.16
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $37.84 / $48.03 / $116.44	Professional	TC	$37.84	$48.03	$116.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $34.53 / $72.78	Professional		$13.38	$34.53	$72.78
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $14.65 / $14.65 / $14.65	Facility	26	$14.65	$14.65	$14.65
Providence Facility/Professional Facility Modifier TC Low / Median / High Price $33.92 / $33.92 / $33.92	Facility	TC	$33.92	$33.92	$33.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.83 / $49.28 / $105.07	Professional		$31.83	$49.28	$105.07
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.67 / $14.23 / $25.74	Professional	26	$10.67	$14.23	$25.74
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $20.52 / $28.60 / $53.85	Professional	TC	$20.52	$28.60	$53.85
United Facility/Professional Professional Modifier Low / Median / High Price $33.78 / $40.70 / $66.31	Professional		$33.78	$40.70	$66.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.02 / $13.71 / $22.62	Professional	26	$11.02	$13.71	$22.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.75 / $27.08 / $44.78	Professional	TC	$21.75	$27.08	$44.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $39.60 / $56.21	Professional		$35.33	$39.60	$56.21
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $10.49 / $12.09 / $16.70	Professional	26	$10.49	$12.09	$16.70
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $24.84 / $27.51 / $39.51	Professional	TC	$24.84	$27.51	$39.51