Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.48 / $52.07 / $97.38	Facility	26	$48.48	$52.07	$97.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.26 / $158.35 / $290.43	Professional		$119.26	$158.35	$290.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.34 / $67.59 / $118.85	Professional	26	$51.34	$67.59	$118.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.03 / $137.18 / $162.91	Professional		$114.03	$137.18	$162.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.65 / $133.10 / $187.42	Professional		$61.65	$133.10	$187.42
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $71.43 / $75.76 / $78.15	Professional	26	$71.43	$75.76	$78.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.87 / $86.87 / $86.87	Facility	26	$86.87	$86.87	$86.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.21 / $177.60 / $327.70	Professional		$135.21	$177.60	$327.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.67 / $79.65 / $148.68	Professional	26	$61.67	$79.65	$148.68
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $179.26 / $376.39 / $376.39	Facility	26	$179.26	$376.39	$376.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,115.94 / $1,115.94 / $1,452.60	Professional		$1,115.94	$1,115.94	$1,452.60
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $476.34 / $476.34 / $610.04	Professional	26	$476.34	$476.34	$610.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.91 / $254.25 / $382.50	Professional		$162.91	$254.25	$382.50
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $86.13 / $110.15 / $293.72	Professional	26	$86.13	$110.15	$293.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $118.01 / $242.00 / $464.40	Professional		$118.01	$242.00	$464.40
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $86.87 / $86.87 / $86.87	Facility	26	$86.87	$86.87	$86.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.29 / $183.63 / $375.55	Professional		$137.29	$183.63	$375.55
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $61.78 / $76.83 / $141.62	Professional	26	$61.78	$76.83	$141.62
United Facility/Professional Professional Modifier Low / Median / High Price $141.33 / $185.49 / $281.17	Professional		$141.33	$185.49	$281.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.62 / $82.13 / $125.85	Professional	26	$63.62	$82.13	$125.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $162.91 / $230.30	Professional		$144.66	$162.91	$230.30
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $62.67 / $72.13 / $100.98	Professional	26	$62.67	$72.13	$100.98