Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.53 / $24.09 / $44.86	Facility	26	$22.53	$24.09	$44.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $62.84 / $288.29	Professional		$39.15	$62.84	$288.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.09 / $33.78 / $55.85	Professional	26	$24.09	$33.78	$55.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $46.80 / $71.16	Professional		$28.83	$46.80	$71.16
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $32.94 / $32.94 / $35.20	Professional	26	$32.94	$32.94	$35.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.95 / $39.95 / $39.95	Facility	26	$39.95	$39.95	$39.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $84.90 / $170.03	Professional		$47.02	$84.90	$170.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.26 / $45.09 / $91.96	Professional	26	$29.26	$45.09	$91.96
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $87.51 / $198.30 / $198.30	Facility	26	$87.51	$198.30	$198.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $696.80 / $717.71 / $717.71	Professional		$696.80	$717.71	$717.71
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $305.45 / $305.45 / $305.45	Professional	26	$305.45	$305.45	$305.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $82.01 / $127.16	Professional		$52.79	$82.01	$127.16
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $39.84 / $50.94 / $135.84	Professional	26	$39.84	$50.94	$135.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.70 / $156.10 / $229.00	Professional		$123.70	$156.10	$229.00
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $39.95 / $39.95 / $39.95	Facility	26	$39.95	$39.95	$39.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.33 / $85.94 / $170.51	Professional		$47.33	$85.94	$170.51
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $29.26 / $44.16 / $91.96	Professional	26	$29.26	$44.16	$91.96
United Facility/Professional Professional Modifier Low / Median / High Price $55.21 / $85.93 / $131.93	Professional		$55.21	$85.93	$131.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.94 / $47.19 / $69.94	Professional	26	$32.94	$47.19	$69.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.66 / $52.79 / $74.31	Professional		$46.66	$52.79	$74.31
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $28.98 / $33.22 / $46.52	Professional	26	$28.98	$33.22	$46.52