Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.61 / $20.23 / $31.70	Facility	26	$15.61	$20.23	$31.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $74.51 / $216.44	Professional		$51.43	$74.51	$216.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $21.77 / $47.84	Professional	26	$15.71	$21.77	$47.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.98 / $23.23 / $45.30	Professional	26	$18.98	$23.23	$45.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $54.06 / $89.27	Professional		$19.64	$54.06	$89.27
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $65.00 / $115.90	Professional		$63.00	$65.00	$115.90
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $23.00 / $24.55 / $25.34	Professional	26	$23.00	$24.55	$25.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.80 / $27.80 / $27.80	Facility	26	$27.80	$27.80	$27.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.03 / $108.20 / $212.22	Professional		$61.03	$108.20	$212.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.72 / $23.34 / $45.85	Professional	26	$15.72	$23.34	$45.85
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $58.07 / $120.22 / $120.22	Facility	26	$58.07	$120.22	$120.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $676.85 / $697.16 / $697.16	Professional		$676.85	$697.16	$697.16
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $153.55 / $153.55 / $196.13	Professional	26	$153.55	$153.55	$196.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $108.09 / $174.37	Professional		$28.70	$108.09	$174.37
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $30.69 / $38.96 / $94.44	Professional	26	$30.69	$38.96	$94.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $79.33 / $152.13	Professional		$29.63	$79.33	$152.13
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $27.80 / $27.80 / $27.80	Facility	26	$27.80	$27.80	$27.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.54 / $114.21 / $211.91	Professional		$64.54	$114.21	$211.91
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $15.62 / $23.65 / $43.90	Professional	26	$15.62	$23.65	$43.90
United Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $113.05 / $350.34	Professional		$67.56	$113.05	$350.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.55 / $24.68 / $39.11	Professional	26	$16.55	$24.68	$39.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $72.44 / $102.82	Professional		$64.59	$72.44	$102.82
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $20.14 / $23.23 / $32.08	Professional	26	$20.14	$23.23	$32.08