Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.00 / $74.66 / $93.58	Facility	26	$57.00	$74.66	$93.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.84 / $494.18 / $778.00	Professional		$358.84	$494.18	$778.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.00 / $90.15 / $140.00	Professional	26	$57.00	$90.15	$140.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.39 / $300.17 / $420.14	Professional		$57.39	$300.17	$420.14
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $66.16 / $69.30 / $73.06	Professional	26	$66.16	$69.30	$73.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.08 / $420.71 / $767.10	Professional		$303.08	$420.71	$767.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.55 / $71.54 / $133.68	Professional	26	$53.55	$71.54	$133.68
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $512.00 / $646.48 / $661.44	Facility	26	$512.00	$646.48	$661.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,775.50 / $2,775.50 / $3,500.18	Professional		$2,775.50	$2,775.50	$3,500.18
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $439.61 / $439.61 / $563.25	Professional	26	$439.61	$439.61	$563.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $368.97 / $605.04 / $710.07	Professional		$368.97	$605.04	$710.07
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $88.31 / $101.90 / $271.72	Professional	26	$88.31	$101.90	$271.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $326.24 / $434.03 / $804.88	Professional		$326.24	$434.03	$804.88
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $53.55 / $71.70 / $135.66	Professional	26	$53.55	$71.70	$135.66
United Facility/Professional Professional Modifier Low / Median / High Price $354.58 / $416.96 / $742.63	Professional		$354.58	$416.96	$742.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.77 / $74.70 / $119.49	Professional	26	$59.77	$74.70	$119.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $344.26 / $383.82 / $548.15	Professional		$344.26	$383.82	$548.15
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $57.98 / $66.84 / $92.33	Professional	26	$57.98	$66.84	$92.33