Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $15.20 / $17.07	Facility	26	$9.67	$15.20	$17.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $74.36 / $475.00	Professional		$45.12	$74.36	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.00 / $18.19 / $155.65	Professional	26	$11.00	$18.19	$155.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $42.02 / $42.02	Professional		$42.02	$42.02	$42.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.39 / $13.94 / $21.72	Professional	26	$11.39	$13.94	$21.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $35.03 / $55.86	Professional		$10.56	$35.03	$55.86
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $43.98 / $63.02 / $79.72	Professional		$43.98	$63.02	$79.72
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $11.03 / $11.58 / $12.03	Professional	26	$11.03	$11.58	$12.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.69 / $60.05 / $134.15	Professional		$37.69	$60.05	$134.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $13.47 / $24.08	Professional	26	$8.91	$13.47	$24.08
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $27.85 / $70.00 / $80.00	Facility	26	$27.85	$70.00	$80.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $353.51 / $371.18 / $379.80	Professional		$353.51	$371.18	$379.80
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $74.64 / $74.64 / $94.05	Professional	26	$74.64	$74.64	$94.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.01 / $66.95 / $175.96	Professional		$42.01	$66.95	$175.96
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.72 / $18.68 / $45.28	Professional	26	$14.72	$18.68	$45.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $46.85 / $72.27	Professional		$13.82	$46.85	$72.27
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.45 / $66.31 / $137.78	Professional		$38.45	$66.31	$137.78
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.47 / $12.73 / $23.69	Professional	26	$9.47	$12.73	$23.69
United Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $61.41 / $118.76	Professional		$45.20	$61.41	$118.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $12.63 / $25.26	Professional	26	$10.11	$12.63	$25.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $42.01 / $59.79	Professional		$37.54	$42.01	$59.79
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $9.66 / $11.14 / $15.38	Professional	26	$9.66	$11.14	$15.38