Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $308.01 / $338.90 / $596.57	Facility	26	$308.01	$338.90	$596.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.60 / $745.39 / $1,488.14	Professional		$613.60	$745.39	$1,488.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $310.26 / $419.99 / $734.20	Professional	26	$310.26	$419.99	$734.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $958.50 / $958.50 / $1,222.41	Professional		$958.50	$958.50	$1,222.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $552.84 / $552.84 / $618.66	Professional	26	$552.84	$552.84	$618.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.39 / $792.35 / $1,208.18	Professional		$420.39	$792.35	$1,208.18
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $437.92 / $455.59 / $463.25	Professional	26	$437.92	$455.59	$463.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $727.78 / $998.17 / $1,647.44	Professional		$727.78	$998.17	$1,647.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $405.72 / $591.17 / $1,021.08	Professional	26	$405.72	$591.17	$1,021.08
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $3,401.60 / $4,284.56 / $4,331.35	Facility	26	$3,401.60	$4,284.56	$4,331.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,280.00 / $6,280.00 / $7,786.43	Professional		$6,280.00	$6,280.00	$7,786.43
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $5,024.00 / $5,024.00 / $5,024.00	Professional	26	$5,024.00	$5,024.00	$5,024.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $873.15 / $1,497.61 / $2,027.63	Professional		$873.15	$1,497.61	$2,027.63
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $586.60 / $744.53 / $1,021.83	Professional	26	$586.60	$744.53	$1,021.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $499.32 / $748.11 / $1,592.50	Professional		$499.32	$748.11	$1,592.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $727.78 / $1,013.52 / $1,746.30	Professional		$727.78	$1,013.52	$1,746.30
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $406.55 / $598.91 / $1,034.88	Professional	26	$406.55	$598.91	$1,034.88
United Facility/Professional Professional Modifier Low / Median / High Price $709.09 / $982.45 / $1,392.29	Professional		$709.09	$982.45	$1,392.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $400.44 / $612.26 / $806.79	Professional	26	$400.44	$612.26	$806.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $774.64 / $873.15 / $1,232.35	Professional		$774.64	$873.15	$1,232.35
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $385.11 / $441.90 / $612.80	Professional	26	$385.11	$441.90	$612.80