Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.55 / $63.48 / $112.74	Facility		$7.55	$63.48	$112.74
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.95 / $5.31 / $9.83	Facility	26	$4.95	$5.31	$9.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.39 / $12.74 / $24.05	Professional		$8.39	$12.74	$24.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.31 / $7.61 / $12.04	Professional	26	$5.31	$7.61	$12.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.36 / $11.36 / $12.27	Professional	50	$11.36	$11.36	$12.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.31 / $3.52 / $6.13	Professional	TC	$2.31	$3.52	$6.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $9.03 / $9.03	Professional		$9.03	$9.03	$9.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.91 / $59.54 / $98.17	Facility		$23.91	$59.54	$98.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $8.28 / $11.11	Professional		$6.24	$8.28	$11.11
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $17.01 / $45.31 / $126.81	Facility		$17.01	$45.31	$126.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $10.57 / $11.09 / $11.36	Facility		$10.57	$11.09	$11.36
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $7.21 / $7.75 / $8.02	Professional	26	$7.21	$7.75	$8.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.59 / $18.41 / $70.37	Facility		$8.59	$18.41	$70.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.76 / $8.76 / $8.76	Facility	26	$8.76	$8.76	$8.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $13.04 / $24.82	Professional		$9.36	$13.04	$24.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.43 / $9.00 / $17.37	Professional	26	$6.43	$9.00	$17.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.88 / $4.16 / $8.68	Professional	TC	$2.88	$4.16	$8.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $25.79 / $70.00 / $109.11	Facility		$25.79	$70.00	$109.11
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $17.60 / $100.00 / $100.00	Facility	26	$17.60	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,428.44 / $1,428.44 / $1,428.44	Professional		$1,428.44	$1,428.44	$1,428.44
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1,274.28 / $1,274.28 / $1,274.28	Professional	26	$1,274.28	$1,274.28	$1,274.28
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $988.10 / $988.10 / $988.10	Professional	TC	$988.10	$988.10	$988.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.51 / $14.87 / $26.16	Facility		$9.51	$14.87	$26.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $16.50 / $44.00	Professional		$10.63	$16.50	$44.00
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.30 / $12.28 / $18.14	Professional	26	$9.30	$12.28	$18.14
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.18 / $5.70 / $13.28	Professional	TC	$4.18	$5.70	$13.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $27.80 / $33.40	Professional		$15.00	$27.80	$33.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.32 / $15.01 / $28.14	Facility		$9.32	$15.01	$28.14
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $8.76 / $8.76 / $8.76	Facility	26	$8.76	$8.76	$8.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $13.58 / $28.53	Professional		$9.63	$13.58	$28.53
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $6.50 / $8.66 / $17.05	Professional	26	$6.50	$8.66	$17.05
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $2.93 / $3.93 / $8.78	Professional	TC	$2.93	$3.93	$8.78
United Facility/Professional Facility Modifier Low / Median / High Price $37.25 / $38.72 / $51.09	Facility		$37.25	$38.72	$51.09
United Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $13.34 / $20.86	Professional		$10.75	$13.34	$20.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.15 / $9.52 / $14.71	Professional	26	$7.15	$9.52	$14.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.51 / $4.41 / $6.75	Professional	TC	$3.51	$4.41	$6.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.39 / $10.63 / $14.88	Professional		$9.39	$10.63	$14.88
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.35 / $7.28 / $10.19	Professional	26	$6.35	$7.28	$10.19
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $3.04 / $3.36 / $4.78	Professional	TC	$3.04	$3.36	$4.78