Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $125.89 / $154.88	Facility	26	$87.10	$125.89	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $125.89 / $302.00	Professional	26	$87.10	$125.89	$302.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $114.82 / $144.54	Professional	26	$67.61	$114.82	$144.54
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $81.28 / $93.33	Professional	26	$81.28	$81.28	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $109.65 / $177.83	Professional	26	$72.44	$109.65	$177.83
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $549.54 / $549.54 / $549.54	Facility	26	$549.54	$549.54	$549.54
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $549.54 / $691.83 / $691.83	Professional	26	$549.54	$691.83	$691.83
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $154.88	Facility	26	$125.89	$125.89	$154.88
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $154.88 / $331.13	Professional	26	$91.20	$154.88	$331.13
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $97.72 / $169.82	Professional	26	$72.44	$97.72	$169.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $85.11 / $147.91	Professional	26	$66.07	$85.11	$147.91
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $85.11 / $87.10	Professional	26	$85.11	$85.11	$87.10