Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.27 / $8.14 / $13.14	Facility	26	$6.27	$8.14	$13.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $27.96 / $53.65	Professional		$21.02	$27.96	$53.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $8.77 / $14.66	Professional	26	$6.74	$8.77	$14.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.77 / $18.39 / $32.10	Professional	TC	$13.77	$18.39	$32.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $22.36 / $36.25	Professional		$7.96	$22.36	$36.25
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $29.69 / $40.57 / $48.15	Professional		$29.69	$40.57	$48.15
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $8.82 / $8.82 / $9.85	Professional	26	$8.82	$8.82	$9.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $33.38 / $60.99	Professional		$22.93	$33.38	$60.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $11.40 / $21.01	Professional	26	$7.76	$11.40	$21.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.05 / $22.50 / $42.34	Professional	TC	$15.05	$22.50	$42.34
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $24.54 / $70.00 / $80.00	Facility	26	$24.54	$70.00	$80.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $197.88 / $197.88 / $269.02	Professional		$197.88	$197.88	$269.02
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $232.03 / $232.03 / $232.03	Professional	26	$232.03	$232.03	$232.03
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $142.29 / $146.19 / $193.58	Professional	TC	$142.29	$146.19	$193.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.42 / $50.40 / $70.05	Professional		$36.42	$50.40	$70.05
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.78 / $14.95 / $36.24	Professional	26	$11.78	$14.95	$36.24
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $28.60 / $38.50 / $54.34	Professional	TC	$28.60	$38.50	$54.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $27.44 / $57.33	Professional		$10.26	$27.44	$57.33
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $37.82 / $78.28	Professional		$23.68	$37.82	$78.28
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.89 / $10.90 / $20.28	Professional	26	$7.89	$10.90	$20.28
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $14.78 / $22.38 / $42.17	Professional	TC	$14.78	$22.38	$42.17
United Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $32.84 / $55.83	Professional		$24.90	$32.84	$55.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.48 / $10.67 / $18.97	Professional	26	$7.48	$10.67	$18.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.32 / $22.37 / $36.54	Professional	TC	$16.32	$22.37	$36.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $29.69 / $42.13	Professional		$26.50	$29.69	$42.13
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.73 / $8.91 / $12.29	Professional	26	$7.73	$8.91	$12.29
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $18.78 / $20.78 / $29.85	Professional	TC	$18.78	$20.78	$29.85