Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.86 / $439.86 / $920.69	Facility		$32.86	$439.86	$920.69
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.58 / $10.07 / $17.85	Facility	26	$8.58	$10.07	$17.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $33.94 / $64.22	Professional		$25.53	$33.94	$64.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.40 / $13.86 / $38.53	Professional	26	$9.40	$13.86	$38.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.94 / $21.12 / $40.53	Professional	TC	$16.94	$21.12	$40.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $30.32 / $42.98	Professional		$24.97	$30.32	$42.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.93 / $13.52 / $24.87	Professional	26	$8.93	$13.52	$24.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.61 / $45.19 / $84.63	Facility		$18.61	$45.19	$84.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $27.61 / $38.85	Professional		$11.46	$27.61	$38.85
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $41.03 / $225.00 / $589.82	Facility		$41.03	$225.00	$589.82
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $41.53 / $62.35	Professional		$33.63	$41.53	$62.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $35.54 / $38.97	Facility		$13.43	$35.54	$38.97
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $12.62 / $13.54 / $14.40	Professional	26	$12.62	$13.54	$14.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $95.87 / $106.33	Facility		$39.29	$95.87	$106.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.88 / $15.88 / $15.88	Facility	26	$15.88	$15.88	$15.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $36.15 / $69.15	Professional		$27.94	$36.15	$69.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.84 / $14.90 / $27.75	Professional	26	$10.84	$14.90	$27.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.80 / $21.68 / $40.90	Professional	TC	$15.80	$21.68	$40.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $78.84 / $514.16 / $539.87	Facility		$78.84	$514.16	$539.87
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $31.93 / $100.00 / $100.00	Facility	26	$31.93	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $287.00 / $287.00 / $321.52	Professional		$287.00	$287.00	$321.52
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $108.15 / $204.67 / $204.67	Professional	26	$108.15	$204.67	$204.67
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $230.00 / $230.00 / $230.00	Professional	TC	$230.00	$230.00	$230.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.88 / $42.95 / $72.45	Facility		$31.88	$42.95	$72.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $48.36 / $76.50	Professional		$20.58	$48.36	$76.50
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.18 / $19.41 / $51.76	Professional	26	$16.18	$19.41	$51.76
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $30.93 / $38.82 / $61.38	Professional	TC	$30.93	$38.82	$61.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,780.37 / $4,214.27 / $8,151.00	Facility		$2,780.37	$4,214.27	$8,151.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $28.13 / $69.13	Professional		$14.00	$28.13	$69.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.88 / $43.12 / $75.08	Facility		$31.88	$43.12	$75.08
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $15.88 / $15.88 / $15.88	Facility	26	$15.88	$15.88	$15.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.09 / $38.83 / $80.26	Professional		$28.09	$38.83	$80.26
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.98 / $14.32 / $27.06	Professional	26	$10.98	$14.32	$27.06
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $15.79 / $21.59 / $39.31	Professional	TC	$15.79	$21.59	$39.31
United Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $37.17 / $55.76	Professional		$28.32	$37.17	$55.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.84 / $15.54 / $22.97	Professional	26	$11.84	$15.54	$22.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.34 / $22.37 / $33.56	Professional	TC	$16.34	$22.37	$33.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.75 / $35.68 / $50.45	Professional		$31.75	$35.68	$50.45
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $11.04 / $12.75 / $17.52	Professional	26	$11.04	$12.75	$17.52
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $20.71 / $22.92 / $32.93	Professional	TC	$20.71	$22.92	$32.93