Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.43 / $54.83 / $86.56	Facility	26	$42.43	$54.83	$86.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.24 / $77.00 / $141.07	Professional		$62.24	$77.00	$141.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.79 / $55.46 / $105.93	Professional	26	$44.79	$55.46	$105.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.37 / $71.00 / $91.15	Professional		$54.37	$71.00	$91.15
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $63.51 / $66.23 / $68.06	Professional	26	$63.51	$66.23	$68.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $97.23 / $244.42	Professional		$70.95	$97.23	$244.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.21 / $66.54 / $123.23	Professional	26	$49.21	$66.54	$123.23
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $158.69 / $305.79 / $336.21	Facility	26	$158.69	$305.79	$336.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,748.00 / $1,748.00 / $1,748.00	Professional		$1,748.00	$1,748.00	$1,748.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $496.08 / $496.08 / $543.29	Professional	26	$496.08	$496.08	$543.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $138.77 / $166.11	Professional		$89.79	$138.77	$166.11
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $84.94 / $98.01 / $261.36	Professional	26	$84.94	$98.01	$261.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $441.20 / $441.20 / $441.20	Professional		$441.20	$441.20	$441.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.79 / $103.61 / $245.29	Professional		$73.79	$103.61	$245.29
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $51.12 / $66.78 / $121.46	Professional	26	$51.12	$66.78	$121.46
United Facility/Professional Professional Modifier Low / Median / High Price $76.22 / $100.04 / $214.71	Professional		$76.22	$100.04	$214.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.72 / $70.68 / $106.00	Professional	26	$55.72	$70.68	$106.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $89.79 / $125.71	Professional		$78.95	$89.79	$125.71
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $55.77 / $64.12 / $88.83	Professional	26	$55.77	$64.12	$88.83