Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.92 / $24.67 / $37.75	Facility	26	$18.92	$24.67	$37.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.56 / $181.78 / $330.23	Professional		$141.56	$181.78	$330.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.92 / $24.81 / $58.13	Professional	26	$18.92	$24.81	$58.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $156.63 / $222.69	Professional		$24.50	$156.63	$222.69
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $27.41 / $27.74 / $30.98	Professional	26	$27.41	$27.74	$30.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $210.41 / $373.86	Professional		$145.13	$210.41	$373.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.46 / $36.40 / $59.44	Professional	26	$24.46	$36.40	$59.44
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $85.90 / $142.79 / $142.79	Facility	26	$85.90	$142.79	$142.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,397.49 / $1,397.49 / $1,711.80	Professional		$1,397.49	$1,397.49	$1,711.80
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $249.32 / $249.32 / $249.32	Professional	26	$249.32	$249.32	$249.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $324.51 / $492.65	Professional		$186.93	$324.51	$492.65
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $40.18 / $50.23 / $112.56	Professional	26	$40.18	$50.23	$112.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $213.15 / $395.20	Professional		$33.95	$213.15	$395.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $217.26 / $385.42	Professional		$145.13	$217.26	$385.42
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $24.75 / $38.13 / $59.45	Professional	26	$24.75	$38.13	$59.45
United Facility/Professional Professional Modifier Low / Median / High Price $134.63 / $200.64 / $335.24	Professional		$134.63	$200.64	$335.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.41 / $31.52 / $47.81	Professional	26	$25.41	$31.52	$47.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $167.85 / $186.93 / $267.12	Professional		$167.85	$186.93	$267.12
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $24.02 / $27.69 / $38.19	Professional	26	$24.02	$27.69	$38.19